Provider Demographics
NPI:1639235757
Name:DANIEL S HURWITZ MD PA
Entity Type:Organization
Organization Name:DANIEL S HURWITZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:HURWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-753-0500
Mailing Address - Street 1:3080 NW 99TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4038
Mailing Address - Country:US
Mailing Address - Phone:954-753-0500
Mailing Address - Fax:954-753-0531
Practice Address - Street 1:3080 NW 99TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4038
Practice Address - Country:US
Practice Address - Phone:954-753-0500
Practice Address - Fax:954-753-0531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29396207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1811915184OtherLESLIE A. HURWITZ, D.O.
FL1699790014OtherDANIEL S. HURWITZ, M.D.