Provider Demographics
NPI:1629062864
Name:HUME, DANIEL M (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:HUME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6400 EDGELAKE DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8813
Mailing Address - Country:US
Mailing Address - Phone:941-928-6909
Mailing Address - Fax:941-349-0935
Practice Address - Street 1:6400 EDGELAKE DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8813
Practice Address - Country:US
Practice Address - Phone:941-928-6909
Practice Address - Fax:941-349-0935
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME76618207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35605OtherBCBS
FLP00118079OtherMEDICARE RR
FL257529900Medicaid
FLH07171Medicare UPIN
FL35605OtherBCBS