Individual
DANIEL JOSEPH MUCERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
162 NE 25TH ST APT 1207, MIAMI, FL 33137-5081
(954) 529-7780
Mailing address
162 NE 25TH ST APT 1006, MIAMI, FL 33137-5078
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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