MEDICARE: PETER DANYI 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	207RC0000X	Cardiovascular Disease Physician	0101242837	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1801831615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER DANYI M.D.

Provider Business Mailing Address
First Line	:	2500 BOBCAT VILLAGE CENTER RD
Second Line	:	UNIT G
City	:	NORTH PORT
State	:	FL
Zip	:	34288-8476
Country	:	US
Telephone Number	:	407-963-3943
Fax Number	:	407-400-7966

Provider Business Practice Location Address
First Line	:	2500 BOBCAT VILLAGE CENTER RD
Second Line	:	UNIT G
City	:	NORTH PORT
State	:	FL
Zip	:	34288-8476
Country	:	US
Telephone Number	:	407-963-3943
Fax Number	:	407-400-7966

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

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	10/30/2013

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