Healthcare Provider Details

I. General information

NPI: 1285141333
Provider Name (Legal Business Name): DANIEL DRAKE SATTERFIELD PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1827 HARRISON AVE
PANAMA CITY FL
32405-7605
US

IV. Provider business mailing address

2501 N ORANGE AVE STE 340
ORLANDO FL
32804-4601
US

V. Phone/Fax

Practice location:
  • Phone: 850-785-4344
  • Fax:
Mailing address:
  • Phone: 407-895-8890
  • Fax: 407-895-3608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number1255001350
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: