Healthcare Provider Details

I. General information

NPI: 1639235757
Provider Name (Legal Business Name): DANIEL S HURWITZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2007
Last Update Date: 06/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3080 NW 99TH AVE SUITE 200
CORAL SPRINGS FL
33065-4038
US

IV. Provider business mailing address

3080 NW 99TH AVE SUITE 200
CORAL SPRINGS FL
33065-4038
US

V. Phone/Fax

Practice location:
  • Phone: 954-753-0500
  • Fax: 954-753-0531
Mailing address:
  • Phone: 954-753-0500
  • Fax: 954-753-0531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number29396
License Number StateFL

VIII. Authorized Official

Name: DR. DANIEL S HURWITZ
Title or Position: PRESIDENT
Credential: MD
Phone: 954-753-0500