Provider Demographics
NPI:1497084628
Name:DANIER, ERNST GERARD (PA-C)
Entity Type:Individual
Prefix:
First Name:ERNST
Middle Name:GERARD
Last Name:DANIER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 SW 40TH STREET
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3311
Mailing Address - Country:US
Mailing Address - Phone:305-821-5119
Mailing Address - Fax:305-227-1681
Practice Address - Street 1:6245 MIRAMAR PKWY STE 101
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3964
Practice Address - Country:US
Practice Address - Phone:954-364-4393
Practice Address - Fax:954-364-4296
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105251363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant