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NPI Code Detail

MEDICARE: DR. DANIEL ENRIQUE URDANETA M.D.

MEDICARE:  DR. DANIEL ENRIQUE URDANETA  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
1208D00000XGeneral Practice PhysicianME120984FL

Other Identifiers

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

General Provider Information

NPI Number : 1649587908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL ENRIQUE URDANETA M.D.
Provider Business Mailing Address
First Line : PO BOX 878
Second Line :
City : DAVENPORT
State : FL
Zip : 33836-0878
Country : US
Telephone Number : 689-223-3898
Fax Number : 689-223-3898
Provider Business Practice Location Address
First Line : 280 WEKIVA SPRINGS RD STE 1000
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-6098
Country : US
Telephone Number : 407-788-2273
Fax Number : 407-389-2273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2010
Last Update Date : 09/09/2024

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Directions to “ DR. DANIEL ENRIQUE URDANETA M.D.” Practice Location

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