Provider Demographics
NPI:1063004653
Name:SANFIELD, DANIELLE OLIVIA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:OLIVIA
Last Name:SANFIELD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 S UNIVERSITY DR STE 5
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2001
Mailing Address - Country:US
Mailing Address - Phone:954-998-0345
Mailing Address - Fax:
Practice Address - Street 1:3501 S UNIVERSITY DR STE 5
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2001
Practice Address - Country:US
Practice Address - Phone:954-998-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9114164363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant