Healthcare Provider Details

I. General information

NPI: 1144505454
Provider Name (Legal Business Name): DANIEL EDWARD FLYNN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2011
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 W YAMATO RD STE 160
BOCA RATON FL
33431-4432
US

IV. Provider business mailing address

525 NW 13TH AVE
BOCA RATON FL
33486-3265
US

V. Phone/Fax

Practice location:
  • Phone: 800-350-3819
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS37814
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: