Provider Demographics
NPI:1073609483
Name:FINELLI, DANIEL S (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:FINELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:D
Other - Middle Name:SCOTT
Other - Last Name:FINELLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4828 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2341
Mailing Address - Country:US
Mailing Address - Phone:850-477-8109
Mailing Address - Fax:850-478-2412
Practice Address - Street 1:5147 N 9TH AVE STE 311
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8770
Practice Address - Country:US
Practice Address - Phone:850-477-2597
Practice Address - Fax:850-478-7941
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37827207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000289897010OtherUNITED HEALTH CARE
FL042659800Medicaid
AL059050500OtherBCBS OF ALABAMA
020008140OtherRAILROAD MEDICARE
4038927OtherAETNA
Z017OtherHEALTH OPTIONS
AL008803370Medicaid
5400183OtherCIGAN
FL05556OtherBCBS OF FLORIDA
020008140OtherRAILROAD MEDICARE
FL05556YMedicare PIN