Healthcare Provider Details

I. General information

NPI: 1285611384
Provider Name (Legal Business Name): DANIEL M DONATO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 MILSTEAD AVE NE STE 300
CONYERS GA
30012-3877
US

IV. Provider business mailing address

21097 NE 27TH CT STE 500
AVENTURA FL
33180-1235
US

V. Phone/Fax

Practice location:
  • Phone: 678-806-3330
  • Fax:
Mailing address:
  • Phone: 305-666-1811
  • Fax: 305-666-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number110875
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberME165530
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: