MEDICARE: DR. DANIEL SCOTT KOSCHES 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
1	207RG0100X	Gastroenterology Physician	ME0061573	FL

General Provider Information

NPI Number	:	1316932296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL SCOTT KOSCHES M.D.

Provider Business Mailing Address
First Line	:	4800 NE 20TH TER STE 115
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4510
Country	:	US
Telephone Number	:	954-267-8866
Fax Number	:	954-267-0939

Provider Business Practice Location Address
First Line	:	4800 NE 20TH TER STE 115
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4510
Country	:	US
Telephone Number	:	954-267-8866
Fax Number	:	954-267-0939

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	10/08/2023

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