MEDICARE: DANIEL FIELDS MD

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	207R00000X	Internal Medicine Physician	ME77599	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00357276	OTHER		RR MCR
2	49505	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639197098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL FIELDS MD

Provider Business Mailing Address
First Line	:	10840 SW 113TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-3227
Country	:	US
Telephone Number	:	305-670-2052
Fax Number	:

Provider Business Practice Location Address
First Line	:	10840 SW 113TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-3227
Country	:	US
Telephone Number	:	305-670-2052
Fax Number	:

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	11/12/2025

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Directions to “ DANIEL FIELDS MD” Practice Location

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