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NPI Code Detail

MEDICARE: DR. DANIEL ADAM PICARD M.D.

MEDICARE:  DR. DANIEL ADAM PICARD  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
1207R00000XInternal Medicine PhysicianME61639FL
2208100000XPhysical Medicine & Rehabilitation PhysicianME61639FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11287004OTHERFLUNITED HEALTH CARE
23231812OTHERFLAETNA PPO
3W8P01OTHERFLEMPIRE BCBS
4270423OTHERFLAMERIGROUP
55325021OTHERFLAETNA HMO
6611448083OTHERFLHUMANA
75483381OTHERFLCIGNA
815029OTHERFLBCBS FLORIDA
91522170OTHERFLHIGHMARK BCBS
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11P00029704OTHERFLPALMETTO GBA
12126029000OTHERFLUS DEPT OF LABOR
139727882OTHERFLGHI
14MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457358590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL ADAM PICARD M.D.
Provider Business Mailing Address
First Line : 1776 WOODSTEAD CT STE 208
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-1480
Country : US
Telephone Number : 877-749-7428
Fax Number : 512-628-3314
Provider Business Practice Location Address
First Line : 1700 S 23RD ST
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4803
Country : US
Telephone Number : 877-749-7428
Fax Number : 512-628-3314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 10/12/2020

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Directions to “ DR. DANIEL ADAM PICARD M.D.” Practice Location

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