Provider Demographics
NPI:1689994972
Name:DAUM, AKIVA MOSHE (MD)
Entity Type:Individual
Prefix:DR
First Name:AKIVA
Middle Name:MOSHE
Last Name:DAUM
Suffix:
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 1:3275 W HILLSBORO BLVD
Mailing Address - Street 2:SUITE 300D
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-9474
Mailing Address - Country:US
Mailing Address - Phone:954-451-2592
Mailing Address - Fax:
Practice Address - Street 1:3275 W HILLSBORO BLVD
Practice Address - Street 2:SUITE 300D
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-9474
Practice Address - Country:US
Practice Address - Phone:954-451-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2583772084P0800X
FLME1282432084P0802X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry