Provider Demographics
NPI:1972037760
Name:DANIEL, MAX ARTHUR (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:ARTHUR
Last Name:DANIEL
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:240 NW 132ND ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-3825
Mailing Address - Country:US
Mailing Address - Phone:954-708-4731
Mailing Address - Fax:954-606-0772
Practice Address - Street 1:240 NW 132ND ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-3825
Practice Address - Country:US
Practice Address - Phone:954-708-4731
Practice Address - Fax:954-606-0772
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR302-P.A.363A00000X
FL24250208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant