Provider Demographics
NPI:1407268600
Name:HANLEY, DANIEL LEE WILBURN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LEE WILBURN
Last Name:HANLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2838 SW 30TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-2000
Mailing Address - Country:US
Mailing Address - Phone:833-742-6276
Mailing Address - Fax:833-450-0911
Practice Address - Street 1:10700 STRINGFELLOW RD STE 50
Practice Address - Street 2:
Practice Address - City:BOKEELIA
Practice Address - State:FL
Practice Address - Zip Code:33922-3232
Practice Address - Country:US
Practice Address - Phone:833-742-6276
Practice Address - Fax:833-450-0911
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10352800207Q00000X
PAMD462274207Q00000X
FLME139840207QA0000X, 207QA0505X, 207QB0002X, 207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine