Provider Demographics
NPI:1891730594
Name:DANIEL, MEUREEN O (MD)
Entity Type:Individual
Prefix:DR
First Name:MEUREEN
Middle Name:O
Last Name:DANIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 S PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-4349
Mailing Address - Country:US
Mailing Address - Phone:407-330-9082
Mailing Address - Fax:
Practice Address - Street 1:2105 S PARK AVE
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-4349
Practice Address - Country:US
Practice Address - Phone:407-330-9082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME54385207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268055600Medicaid
FL268055600Medicaid
FL07828Medicare PIN