Provider Demographics
NPI:1285611384
Name:DONATO, DANIEL M (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:DONATO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:21097 NE 27TH CT STE 500
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1235
Mailing Address - Country:US
Mailing Address - Phone:305-666-1811
Mailing Address - Fax:305-666-1801
Practice Address - Street 1:21097 NE 27TH CT STE 500
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1235
Practice Address - Country:US
Practice Address - Phone:305-666-1811
Practice Address - Fax:305-666-1801
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME165530207VX0201X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL121485000Medicaid
CO80983049Medicaid
D60993Medicare UPIN