Individual
DR. DANIEL RUSSEL BETTERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 JOHNSON STREET, HOLLYWOOD, FL 33021-5487
(954) 265-5339
Mailing address
1525 NW 62ND ST, FORT LAUDERDALE, FL 33309-2439
(844) 248-4320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME159943
FL
390200000X
Student in an Organized Health Care Education/Training Program
MT197676
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/27/2010
Last updated
04/03/2024
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