Provider Demographics
NPI:1427587401
Name:RICE, DANIELLE E (PA-C)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:E
Last Name:RICE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6859 SW 18TH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3609
Mailing Address - Country:US
Mailing Address - Phone:561-368-3775
Mailing Address - Fax:561-322-7139
Practice Address - Street 1:6859 SW 18TH ST
Practice Address - Street 2:STE 200
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3609
Practice Address - Country:US
Practice Address - Phone:561-368-3775
Practice Address - Fax:561-392-7139
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020629363A00000X
FLPA9113484363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant