Provider Demographics
NPI:1942203880
Name:AKINS, DANIEL L (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:AKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1201 S MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3424
Mailing Address - Country:US
Mailing Address - Phone:727-442-1917
Mailing Address - Fax:727-446-3490
Practice Address - Street 1:1201 S MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3424
Practice Address - Country:US
Practice Address - Phone:727-442-1917
Practice Address - Fax:727-446-3490
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME51919207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD20964Medicare UPIN
FL04694Medicare ID - Type Unspecified