Provider Demographics
NPI:1972679264
Name:PANFIL, DANIEL A (ARNP)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:PANFIL
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8648 URANUS TER
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1661
Mailing Address - Country:US
Mailing Address - Phone:561-627-6057
Mailing Address - Fax:561-627-6057
Practice Address - Street 1:4631 CONGRESS AVE
Practice Address - Street 2:STE 204
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-494-0589
Practice Address - Fax:561-494-0613
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1082332363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health