Provider Demographics
NPI:1942361571
Name:MCBRIDE, DANIEL (DC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:MCBRIDE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 N JOHN YOUNG PKWY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4902
Mailing Address - Country:US
Mailing Address - Phone:407-944-9355
Mailing Address - Fax:407-933-1237
Practice Address - Street 1:322 N JOHN YOUNG PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4902
Practice Address - Country:US
Practice Address - Phone:407-944-9355
Practice Address - Fax:407-933-1237
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000854300Medicaid
FL55885OtherBCBS
FL55885OtherBCBS