MEDICARE: DANIEL JAMES KNELL ARNP

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	363LA2200X	Adult Health Nurse Practitioner	ARNP 9228554	FL

General Provider Information

NPI Number	:	1841683786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL JAMES KNELL ARNP

Provider Business Mailing Address
First Line	:	2561 NW 123RD TER
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-7812
Country	:	US
Telephone Number	:	863-944-8712
Fax Number	:

Provider Business Practice Location Address
First Line	:	2561 NW 123RD TER
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-7812
Country	:	US
Telephone Number	:	863-944-8712
Fax Number	:

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

Provider Enumeration Date	:	03/17/2015
Last Update Date	:	03/17/2015

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