MEDICARE: DR. IAN RICHARD DAY M.D.

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	208M00000X	Hospitalist Physician	ME73903	FL
2	207Q00000X	Family Medicine Physician	73903	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316944317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IAN RICHARD DAY M.D.

Provider Business Mailing Address
First Line	:	855 N INDIAN RIVER DR
Second Line	:
City	:	COCOA
State	:	FL
Zip	:	32922-7530
Country	:	US
Telephone Number	:	386-290-6682
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 PALMETTO ST
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7322
Country	:	US
Telephone Number	:	386-424-5000
Fax Number	:

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	04/29/2019

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Directions to “ DR. IAN RICHARD DAY M.D.” Practice Location

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