Healthcare Provider Details

I. General information

NPI: 1972929164
Provider Name (Legal Business Name): DANIEL REED BUCHAN D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2014
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 BLUEWATER BLVD STE 100
NICEVILLE FL
32578-3888
US

IV. Provider business mailing address

1950 BLUEWATER BLVD STE 100
NICEVILLE FL
32578-3888
US

V. Phone/Fax

Practice location:
  • Phone: 850-897-8081
  • Fax: 850-897-1520
Mailing address:
  • Phone: 850-897-8081
  • Fax: 850-897-1520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34.012573
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberOS16731
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: