MEDICARE: DANIE CITERME

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	363LF0000X	Family Nurse Practitioner	11006127	FL

General Provider Information

NPI Number	:	1679185219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIE CITERME

Provider Business Mailing Address
First Line	:	4780 SW 64TH AVE STE 103
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33314-4400
Country	:	US
Telephone Number	:	954-434-1705
Fax Number	:

Provider Business Practice Location Address
First Line	:	5100 W COPANS RD STE 500
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-7733
Country	:	US
Telephone Number	:	954-972-2155
Fax Number	:	954-972-2354

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

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	06/05/2026

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Directions to “ DANIE CITERME ” Practice Location

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