Healthcare Provider Details

I. General information

NPI: 1396725107
Provider Name (Legal Business Name): DANIEL HARRY DWYER RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAN H DWYER RN

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 N MILITARY TRL
RIVIERA BEACH FL
33410-7417
US

IV. Provider business mailing address

7954 SE MAMMOTH DR
HOBE SOUND FL
33455-7896
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-6957
  • Fax: 561-422-7615
Mailing address:
  • Phone: 561-422-6957
  • Fax: 561-422-7615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1811282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: