Provider Demographics
NPI:1598953564
Name:BEIRNE, DANIEL KELLY II (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:KELLY
Last Name:BEIRNE
Suffix:II
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 1:2033 S PATRICK DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4418
Mailing Address - Country:US
Mailing Address - Phone:321-773-9898
Mailing Address - Fax:321-773-3354
Practice Address - Street 1:2033 SOUTH PATRICK DRIVE
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937
Practice Address - Country:US
Practice Address - Phone:321-773-9898
Practice Address - Fax:321-773-3354
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65710208VP0014X, 261Q00000X, 2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center