Healthcare Provider Details

I. General information

NPI: 1811007040
Provider Name (Legal Business Name): DANIEL EDWARD FINEGAN P.A.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 LINTON BLVD SUITE E2
DELRAY BEACH FL
33484-6596
US

IV. Provider business mailing address

531 N OCEAN BLVD APT 1607
POMPANO BEACH FL
33062-4641
US

V. Phone/Fax

Practice location:
  • Phone: 561-498-8891
  • Fax: 561-498-8031
Mailing address:
  • Phone: 845-774-6838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9103538
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: