Provider Demographics
NPI:1972037760
Name:DANIEL, MAX ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:MAX
Middle Name:ARTHUR
Last Name:DANIEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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 1:6245 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3964
Practice Address - Country:US
Practice Address - Phone:954-708-4731
Practice Address - Fax:954-606-0772
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-18
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24250208D00000X
PR302-P.A.363A00000X
FLPACN47363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice