MEDICARE: MARIE-ANGE ANNY DANIEL

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	11030553	FL

General Provider Information

NPI Number	:	1841051927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE-ANGE ANNY DANIEL

Provider Business Mailing Address
First Line	:	3575 SW 90TH AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-7635
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3575 SW 90TH AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-7635
Country	:	US
Telephone Number	:	786-218-0353
Fax Number	:

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

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

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Directions to “ MARIE-ANGE ANNY DANIEL ” Practice Location

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