Healthcare Provider Details

I. General information

NPI: 1710437124
Provider Name (Legal Business Name): DANIEL LAYMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9611 W BROWARD BLVD
PLANTATION FL
33324-2334
US

IV. Provider business mailing address

9611 W BROWARD BLVD
PLANTATION FL
33324-2334
US

V. Phone/Fax

Practice location:
  • Phone: 954-967-6400
  • Fax:
Mailing address:
  • Phone: 954-924-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP134199
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9490867
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9221
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN9490867
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: