Provider Demographics
NPI:1881666089
Name:HARWITZ, DANIEL G (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:G
Last Name:HARWITZ
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 1:2390 BAYVIEW LANE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181
Mailing Address - Country:US
Mailing Address - Phone:305-891-3121
Mailing Address - Fax:305-891-2658
Practice Address - Street 1:1 ESTRADA RD
Practice Address - Street 2:JUPITER ISLAND CLINIC
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455
Practice Address - Country:US
Practice Address - Phone:772-546-3751
Practice Address - Fax:772-545-0999
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL ME 012303207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D59418Medicare UPIN
90903Medicare ID - Type Unspecified