Individual
DR. DANIEL KENT NIMMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20900 BISCAYNE BLVD, MIAMI, FL 33180-1407
(305) 682-7000
Mailing address
610 W LAS OLAS BLVD, 1512, FT LAUDERDALE, FL 33312-7119
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5418
OK
207L00000X
Anesthesiology Physician
Primary
OS 14102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47096
OK BOARD OF NARCOTICS AND DANGEROUS DRUGS CONTROL
OK
01
—
5418
MEDICAL LICENSE
OK
01
—
OS 14102
OSTEOPATHIC MEDICAL BOARD
FL
Enumeration date
02/19/2013
Last updated
03/07/2023
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