Provider Demographics
NPI:1336453877
Name:DANIEL J CARUSO, M.D., P.A
Entity Type:Organization
Organization Name:DANIEL J CARUSO, M.D., P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-746-9227
Mailing Address - Street 1:221 GREENWICH CIR STE 107
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2892
Mailing Address - Country:US
Mailing Address - Phone:561-746-9227
Mailing Address - Fax:561-746-9221
Practice Address - Street 1:221 GREENWICH CIR STE 107
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2892
Practice Address - Country:US
Practice Address - Phone:561-746-9227
Practice Address - Fax:561-746-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101947208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty