MEDICARE: DANNY S SPERLING 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	2085R0202X	Diagnostic Radiology Physician	235421	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	235421	OTHER	NY	LICENSE
2	25MA08052800	OTHER	NJ	NEW JERSEY LICENSE
3	ME114369	OTHER	FL	FLORIDA LICENSE

General Provider Information

NPI Number	:	1245255249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY S SPERLING MD

Provider Business Mailing Address
First Line	:	4205 W ATLANTIC AVE
Second Line	:	BUILDING D (401)
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3901
Country	:	US
Telephone Number	:	561-300-1350
Fax Number	:	561-300-1450

Provider Business Practice Location Address
First Line	:	4205 W ATLANTIC AVENUE
Second Line	:	BUILDING D (401)
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445
Country	:	US
Telephone Number	:	561-300-1350
Fax Number	:	561-300-1450

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/21/2017

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Directions to “ DANNY S SPERLING MD” Practice Location

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