Healthcare Provider Details

I. General information

NPI: 1184239006
Provider Name (Legal Business Name): DANIEL BELNAP CAA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 COLUMBIA ST
ORLANDO FL
32806-1115
US

IV. Provider business mailing address

317 SAN SABA RD
EL PASO TX
79912-5233
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-5851
  • Fax: 321-843-1673
Mailing address:
  • Phone: 801-390-0843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: