Provider Demographics
NPI:1609069780
Name:DANIEL M HUME MD PA
Entity Type:Organization
Organization Name:DANIEL M HUME MD PA
Other - Org Name:SUNCOAST INPATIENT CARE PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-745-3900
Mailing Address - Street 1:4526 WOODSIDE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34242-1239
Mailing Address - Country:US
Mailing Address - Phone:941-745-3900
Mailing Address - Fax:941-349-0935
Practice Address - Street 1:4526 WOODSIDE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34242-1239
Practice Address - Country:US
Practice Address - Phone:941-745-3900
Practice Address - Fax:941-349-0935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 76618208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH07171Medicare UPIN