Healthcare Provider Details

I. General information

NPI: 1992493399
Provider Name (Legal Business Name): DANIAL HUSSAIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON ST STE 500B
HOLLYWOOD FL
33021-8259
US

IV. Provider business mailing address

8333 NW 53RD ST FL 6
DORAL FL
33166-4783
US

V. Phone/Fax

Practice location:
  • Phone: 954-967-6110
  • Fax: 954-967-8231
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS24082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: