Individual
KERRI DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3235 SW PORT ST LUCIE BLVD STE 105, PORT ST LUCIE, FL 34953-3405
(772) 408-5063
(844) 540-4793
Mailing address
5827 CORPORATE WAY, WEST PALM BEACH, FL 33407-2000
(561) 844-9443
(561) 844-1013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E-5922
AR
208000000X
Pediatrics Physician
Primary
ME108559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002991300
—
FL
05
—
176958001
—
AR
Enumeration date
04/25/2007
Last updated
03/18/2019
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