Daniels, Kerri
Daniels, Kerri is an individual health care provider with primary practice located at 3235 Sw Port St Lucie Blvd Ste 105 , Port St Lucie FL 34953-3405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Daniels, Kerri can be contacted via phone (772) 408-5063.Contact Information
Primary practice address
3235 Sw Port St Lucie Blvd Ste 105
Port St Lucie FL 34953-3405
Phone: (772) 408-5063
Fax: (844) 540-4793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-5922 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME108559 | Florida |
Profile Details
| NPI number | 1134348469 |
|---|---|
| LBN Legal business name | Daniels, Kerri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Mar 18th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134348469 | NPPES |
| Arkansas | MEDICAID | 176958001 | |
| Arkansas | MEDICAID | 002991300 |
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