MEDICARE: DR. DAVID B DANIELSON D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO 3256	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	:	1821179755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID B DANIELSON D.P.M.

Provider Business Mailing Address
First Line	:	14580 TAMIAMI TRL UNIT H
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34287-2708
Country	:	US
Telephone Number	:	941-429-1702
Fax Number	:	941-429-0981

Provider Business Practice Location Address
First Line	:	14580 TAMIAMI TRL UNIT H
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34287-2708
Country	:	US
Telephone Number	:	941-429-1702
Fax Number	:	941-429-0981

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	02/10/2021

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