MEDICARE: DR. DANIEL A DEEMS M.D., PHD

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	174400000X	Specialist	ME 72426	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	040015343	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	231346	OTHER	FL	AETNA HMO
2	2267911 002	OTHER	FL	CIGNA
3	243108	OTHER	FL	AVMED
4	32861	OTHER	FL	BCBS
5	5904443	OTHER	FL	AETNA PPO
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659345700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL A DEEMS M.D., PHD

Provider Business Mailing Address
First Line	:	8451 SHADE AVE
Second Line	:	SUITE 107
City	:	SARASOTA
State	:	FL
Zip	:	34243-2878
Country	:	US
Telephone Number	:	941-355-2767
Fax Number	:	941-355-0617

Provider Business Practice Location Address
First Line	:	8451 SHADE AVE
Second Line	:	SUITE 107
City	:	SARASOTA
State	:	FL
Zip	:	34243-2878
Country	:	US
Telephone Number	:	941-355-2767
Fax Number	:	941-355-0617

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	02/27/2012

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Directions to “ DR. DANIEL A DEEMS M.D., PHD” Practice Location

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