Provider Demographics
NPI:1912039272
Name:DANIEL K HELLERSTEIN MD PA
Entity Type:Organization
Organization Name:DANIEL K HELLERSTEIN MD PA
Other - Org Name:DANIEL K HELLERSTEIN MD PA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:HELLERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-650-0815
Mailing Address - Street 1:1411 N FLAGLER DR
Mailing Address - Street 2:SUITE 5100
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3404
Mailing Address - Country:US
Mailing Address - Phone:561-650-0815
Mailing Address - Fax:561-650-0819
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:SUITE 5100
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-650-0815
Practice Address - Fax:561-650-0819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAJ499OtherMEDICARE GROUP PROVIDER TRANSACTION ACESS NUMBER (PTAN)