Provider Demographics
NPI:1407993637
Name:LITTLE, DANIEL JAMES (ARNP)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JAMES
Last Name:LITTLE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:DR
Other - First Name:DANIEL
Other - Middle Name:J
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, ARNP, FNP-BC
Mailing Address - Street 1:811 NE 80TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-4650
Mailing Address - Country:US
Mailing Address - Phone:305-778-2056
Mailing Address - Fax:786-464-9897
Practice Address - Street 1:2100 E HALLANDALE BEACH BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3765
Practice Address - Country:US
Practice Address - Phone:954-454-9055
Practice Address - Fax:954-454-9890
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 0926202163WG0000X
FLARNP 926202363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1447516596OtherCORPORATE NPI
FLARNP-0926202OtherFLORIDA ARNP LICENSE
FL1447516596OtherCORPORATE NPI