Healthcare Provider Details

I. General information

NPI: 1609874940
Provider Name (Legal Business Name): DANIEL L CASSIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 01/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD SUITE 520
MIAMI BEACH FL
33140-2891
US

IV. Provider business mailing address

4302 ALTON RD SUITE 520
MIAMI BEACH FL
33140-2891
US

V. Phone/Fax

Practice location:
  • Phone: 305-535-7404
  • Fax: 305-535-7408
Mailing address:
  • Phone: 305-535-7404
  • Fax: 305-535-7408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME27633
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: