Provider Demographics
NPI:1235349531
Name:DANIEL A PICARD MD PA
Entity Type:Organization
Organization Name:DANIEL A PICARD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PICARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-381-3425
Mailing Address - Street 1:PO BOX 7120
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33482-7120
Mailing Address - Country:US
Mailing Address - Phone:561-381-3425
Mailing Address - Fax:888-491-6291
Practice Address - Street 1:2815 S SEACREST BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7934
Practice Address - Country:US
Practice Address - Phone:561-381-3425
Practice Address - Fax:888-491-6291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61639208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1287004OtherUNITED HEALTH CARE
FL15029OtherBCBS FLORIDA
FLK8583Medicare PIN