Provider Demographics
NPI:1003837527
Name:KIEFER, DANIEL GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:GEORGE
Last Name:KIEFER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6427 WESTWOOD BLVD UNIT 100
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-8311
Mailing Address - Country:US
Mailing Address - Phone:321-566-2829
Mailing Address - Fax:321-566-2839
Practice Address - Street 1:6427 WESTWOOD BLVD UNIT 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-8311
Practice Address - Country:US
Practice Address - Phone:321-566-2829
Practice Address - Fax:321-566-2839
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME133907207VM0101X
NV16561207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL23678400Medicaid
MTMED-PHYS-LIC-50581OtherMONTANA STATE LICENSE