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NPI Code Detail

MEDICARE: DANIEL CHARLES CARNEY SR. DO

MEDICARE: DANIEL CHARLES CARNEY SR. DO
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
1208100000XPhysical Medicine & Rehabilitation Physician83788SC
2208M00000XHospitalist Physician83788SC
3208100000XPhysical Medicine & Rehabilitation PhysicianDS7308FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316928500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL CHARLES CARNEY SR. DO
Provider Business Mailing Address
First Line : PO BOX 740463
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33474-0463
Country : US
Telephone Number : 561-734-7598
Fax Number : 561-739-5136
Provider Business Practice Location Address
First Line : 3487 NW 30TH ST
Second Line : ST ANTHONY'S REHABILITATION HOSPITAL
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1103
Country : US
Telephone Number : 954-739-6233
Fax Number : 954-343-3484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 11/09/2022

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