Provider Demographics
NPI:1194799502
Name:DANIEL, GEORGE K (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:K
Last Name:DANIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2923 S FEDERAL HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7745
Mailing Address - Country:US
Mailing Address - Phone:561-752-0100
Mailing Address - Fax:561-740-3001
Practice Address - Street 1:2923 S FEDERAL HWY STE 100
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7745
Practice Address - Country:US
Practice Address - Phone:561-752-0100
Practice Address - Fax:561-740-3001
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME87925207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
1407096365OtherGROUP NPI
FLP00663154OtherRR MEDICARE
1407096365OtherGROUP NPI