MEDICARE: DR. AKIVA MOSHE DAUM 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	2084P0800X	Psychiatry Physician	258377	MA
2	2084P0802X	Addiction Psychiatry Physician	ME128243	FL
3	2084P0800X	Psychiatry Physician	ME128243	FL

General Provider Information

NPI Number	:	1689994972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AKIVA MOSHE DAUM M.D.

Provider Business Mailing Address
First Line	:	3275 W HILLSBORO BLVD
Second Line	:	SUITE 300D
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9474
Country	:	US
Telephone Number	:	954-451-2592
Fax Number	:

Provider Business Practice Location Address
First Line	:	3275 W HILLSBORO BLVD
Second Line	:	SUITE 300D
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9474
Country	:	US
Telephone Number	:	954-451-2592
Fax Number	:

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

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	04/03/2023

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