Individual
DANIEL N EAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1216 N UNIVERSITY DR, PLANTATION, FL 33322-4724
(954) 472-4072
(954) 472-4044
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME87145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1193008
WELLCARE
FL
01
—
2294982
UNITED
FL
01
—
7971556
AETNA
FL
01
—
P01392071
RR MEDICARE
FL
01
—
P1003965
FREEDOM
FL
01
—
P957358
OPTIMUM
FL
01
—
PRL00000269421
PREFERRED MEDICAL PLAN (COMM. & MEDICARE ONLY)
FL
Enumeration date
05/12/2006
Last updated
05/02/2016
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