MEDICARE: DANIEL W. HOUMES P.A.

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	106H00000X	Marriage & Family Therapist	MT 621	FL

General Provider Information

NPI Number	:	1578779187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL W. HOUMES P.A.

Provider Business Mailing Address
First Line	:	1931 NE 54TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3140
Country	:	US
Telephone Number	:	954-491-1314
Fax Number	:

Provider Business Practice Location Address
First Line	:	6245 N FEDERAL HWY
Second Line	:	SUITE 201
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1998
Country	:	US
Telephone Number	:	954-491-1314
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DANIEL W. HOUMES
Credential	:
Telephone Number	:	954-491-1314

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

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