Provider Demographics
NPI:1609874940
Name:CASSIS, DANIEL L (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:CASSIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:SUITE 520
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-535-7404
Mailing Address - Fax:305-535-7408
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SUITE 520
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-535-7404
Practice Address - Fax:305-535-7408
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2016-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME27633207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCN635AMedicare PIN
FL78943DMedicare ID - Type Unspecified
D58593Medicare UPIN