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NPI Code Detail

MEDICARE: DR. DANIELA M BURCHHARDT M.D.

MEDICARE: DR. DANIELA M BURCHHARDT M.D.
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
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) PhysicianME160142FL
2207YS0123XFacial Plastic Surgery PhysicianR7401TX

General Provider Information

NPI Number : 1205196961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIELA M BURCHHARDT M.D.
Provider Business Mailing Address
First Line : 1333 3RD AVE S STE 501
Second Line :
City : NAPLES
State : FL
Zip : 34102-6538
Country : US
Telephone Number : 239-999-4541
Fax Number : 239-299-4496
Provider Business Practice Location Address
First Line : 1333 3RD AVE S STE 501
Second Line :
City : NAPLES
State : FL
Zip : 34102-6538
Country : US
Telephone Number : 239-999-4541
Fax Number : 239-299-4496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2012
Last Update Date : 12/21/2025

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