MEDICARE: DANIEL R KANELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME24067	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033174156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL R KANELL MD

Provider Business Mailing Address
First Line	:	1700 NW 49TH ST
Second Line	:	SUITE 125
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3763
Country	:	US
Telephone Number	:	954-522-3355
Fax Number	:	954-522-2740

Provider Business Practice Location Address
First Line	:	1601 S ANDREWS AVE FL 2
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2509
Country	:	US
Telephone Number	:	954-522-3355
Fax Number	:	954-522-9590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	04/04/2024

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