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Individual

DR. DANIEL P MOYNIHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14555 CORTEZ BLVD, BROOKSVILLE, FL 34613-6003
(352) 556-4823
(352) 556-4824
Mailing address
5400 PINEHURST DR, SPRING HILL, FL 34606-3833
(352) 277-5348
(352) 606-2857

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A99641
CA
174400000X
Specialist
ME101245
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME101245
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001347800
FL
Enumeration date
08/07/2007
Last updated
11/09/2023
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