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NPI Code Detail

MEDICARE: DANIEL O'MALLEY

MEDICARE:   DANIEL  O'MALLEY
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
1367500000XCertified Registered Nurse Anesthetist1224496TX
2367500000XCertified Registered Nurse AnesthetistAPRN11040138FL
3163WC0200XCritical Care Medicine Registered Nurse9545283FL

General Provider Information

NPI Number : 1588346563
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL O'MALLEY
Provider Business Mailing Address
First Line : 921 BRADFORD CIR
Second Line :
City : LYNN HAVEN
State : FL
Zip : 32444-4759
Country : US
Telephone Number : 401-323-3816
Fax Number :
Provider Business Practice Location Address
First Line : 5000 W OAKLAND PARK BLVD
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1503
Country : US
Telephone Number : 954-735-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 03/18/2026

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Directions to “ DANIEL O'MALLEY ” Practice Location

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