Healthcare Provider Details

I. General information

NPI: 1073430518
Provider Name (Legal Business Name): MR. DANE WILLIAM ALMA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 NE 2ND AVE
MIAMI SHORES FL
33161-6628
US

IV. Provider business mailing address

10184 SW CAPTIVA DR
PORT ST LUCIE FL
34987-6401
US

V. Phone/Fax

Practice location:
  • Phone: 305-899-3000
  • Fax:
Mailing address:
  • Phone: 772-361-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number9528366
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: