Provider Demographics
NPI:1104185297
Name:VOLPE, DANIEL JOHN (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOHN
Last Name:VOLPE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:VOLPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:4322 61ST AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-7030
Mailing Address - Country:US
Mailing Address - Phone:630-890-9547
Mailing Address - Fax:
Practice Address - Street 1:600 N CATTLEMEN RD STE 220
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232
Practice Address - Country:US
Practice Address - Phone:941-371-6565
Practice Address - Fax:941-377-7731
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI39363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007388300Medicaid
FLGY171ZMedicare PIN