Provider Demographics
NPI:1821213810
Name:MARIANA DANET, MD INC.
Entity Type:Organization
Organization Name:MARIANA DANET, MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-317-3930
Mailing Address - Street 1:12515 ORANGE DR
Mailing Address - Street 2:SUITE # 802
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4309
Mailing Address - Country:US
Mailing Address - Phone:954-317-3930
Mailing Address - Fax:954-382-8883
Practice Address - Street 1:12515 ORANGE DR
Practice Address - Street 2:SUITE 802
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-4309
Practice Address - Country:US
Practice Address - Phone:954-317-3930
Practice Address - Fax:954-382-8883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME909792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8109Medicare ID - Type Unspecified