Provider Demographics
NPI:1437190477
Name:BATTAGLIA, DANIEL R (DO)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:R
Last Name:BATTAGLIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 DRIFTWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2014
Mailing Address - Country:US
Mailing Address - Phone:561-602-4664
Mailing Address - Fax:561-776-0661
Practice Address - Street 1:7100 W CAMINO REAL
Practice Address - Street 2:SUITE 301
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5510
Practice Address - Country:US
Practice Address - Phone:561-465-2598
Practice Address - Fax:561-465-2599
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7108207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL57364TOtherMEDICARE MFAA B-LOCATION
FL57364UOtherMEDICARE - MFAA-OKEE
FL379962000Medicaid
FL379962000Medicaid
573647Medicare PIN