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NPI Code Detail

MEDICARE: DANIEL CARVALLO M.D.

MEDICARE: DANIEL CARVALLO 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
1207L00000XAnesthesiology Physician0101249270VA
2207L00000XAnesthesiology PhysicianME141630FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891745154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL CARVALLO M.D.
Provider Business Mailing Address
First Line : 7600 W SUNRISE BLVD
Second Line :
City : PLANTATION
State : FL
Zip : 33322-4115
Country : US
Telephone Number : 954-939-5305
Fax Number : 954-618-4347
Provider Business Practice Location Address
First Line : 1005 JOE DIMAGGIO DR
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5402
Country : US
Telephone Number : 954-265-5324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 01/24/2020

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Directions to “ DANIEL CARVALLO M.D.” Practice Location

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