MEDICARE: DANIEL NADER DARIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME94898	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114989605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL NADER DARIA MD

Provider Business Mailing Address
First Line	:	10625 N MILITARY TRL STE 102
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6548
Country	:	US
Telephone Number	:	561-249-7626
Fax Number	:	561-249-7713

Provider Business Practice Location Address
First Line	:	10625 N MILITARY TRL STE 102
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6548
Country	:	US
Telephone Number	:	561-249-7626
Fax Number	:	561-249-7713

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	12/02/2021

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