MEDICARE: GEORGE K DANIEL 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	207RC0000X	Cardiovascular Disease Physician	ME87925	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00663154	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1407096365	OTHER		GROUP NPI

General Provider Information

NPI Number	:	1194799502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE K DANIEL MD

Provider Business Mailing Address
First Line	:	2923 S FEDERAL HWY STE 100
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7745
Country	:	US
Telephone Number	:	561-752-0100
Fax Number	:	561-740-3001

Provider Business Practice Location Address
First Line	:	2923 S FEDERAL HWY STE 100
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7745
Country	:	US
Telephone Number	:	561-752-0100
Fax Number	:	561-740-3001

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	06/27/2024

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Directions to “ GEORGE K DANIEL MD” Practice Location

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