Renuart, Daniel Robert

Renuart, Daniel Robert is an sole proprietor health care provider with primary practice located at 900 Ingraham Ave , Haines City FL 33844-4336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Renuart, Daniel Robert can be contacted via phone (863) 421-6565.

Contact Information

Primary practice address
900 Ingraham Ave Haines City FL 33844-4336
Phone: (863) 421-6565
Fax: (863) 421-7474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 70353 Florida

Profile Details

NPI number 1629034673
LBN Legal business name Renuart, Daniel Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Oct 19th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629034673 NPPES
Florida Other 269334 AVMED #
Florida Other 32418 AVMED #
Florida MEDICAID 258114100 AVMED #
Florida Other 7557370 AVMED #

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