Provider Demographics
NPI:1487018917
Name:SAINT-CYR, DANIELE (DOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:DANIELE
Middle Name:
Last Name:SAINT-CYR
Suffix:
Gender:F
Credentials:DOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PARADISE PLZ # 276
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6905
Mailing Address - Country:US
Mailing Address - Phone:941-955-5554
Mailing Address - Fax:941-870-6651
Practice Address - Street 1:3205 SOUTHGATE CIR # 8
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5514
Practice Address - Country:US
Practice Address - Phone:941-955-5554
Practice Address - Fax:941-870-6651
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1187171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist