Provider Demographics
NPI:1477582047
Name:COHEN-NEAMIE, DANIEL DANNY (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:DANNY
Last Name:COHEN-NEAMIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 940459
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32794-0459
Mailing Address - Country:US
Mailing Address - Phone:407-622-2030
Mailing Address - Fax:407-622-2033
Practice Address - Street 1:315 N LAKEMONT AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3205
Practice Address - Country:US
Practice Address - Phone:407-622-2030
Practice Address - Fax:407-622-2033
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88458208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL44155OtherBCBS
FL273031600Medicaid
FL273031600Medicaid
FL44155OtherBCBS