MEDICARE: AILEEN DANKO MD LLC

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	207XP3100X	Pediatric Orthopaedic Surgery Physician	ME85303	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	:	1477819191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AILEEN DANKO MD LLC

Provider Business Mailing Address
First Line	:	PO BOX 1549
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-1549
Country	:	US
Telephone Number	:	601-407-6104
Fax Number	:	601-407-6074

Provider Business Practice Location Address
First Line	:	203 W PEACE ST
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-4325
Country	:	US
Telephone Number	:	601-407-6104
Fax Number	:	601-407-6074

Authorized Official
Title or Position	:	OWNER
Name	:	AILEEN DANKO
Credential	:	MD
Telephone Number	:	954-323-6723

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	03/24/2023

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Directions to “AILEEN DANKO MD LLC ” Practice Location

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