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NPI Code Detail

MEDICARE: DANNY REDMAN MD

MEDICARE: DANNY REDMAN 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
1207P00000XEmergency Medicine PhysicianME91747FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103358OTHERFLMELBOURNE LOCAT 34457
203358OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194709113
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNY REDMAN MD
Provider Business Mailing Address
First Line : PO BOX 552205
Second Line :
City : TAMPA
State : FL
Zip : 33655-0001
Country : US
Telephone Number : 800-476-8646
Fax Number : 919-382-3210
Provider Business Practice Location Address
First Line : 250 N WICKHAM RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-8625
Country : US
Telephone Number : 800-476-8646
Fax Number : 919-382-3210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 06/22/2009

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