Individual
DR. DANIEL ROBERT RENUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 INGRAHAM AVE, HAINES CITY, FL 33844-4336
(863) 421-6565
(863) 421-7474
Mailing address
900 INGRAHAM AVE, HAINES CITY, FL 33844-4336
(863) 421-6565
(863) 421-7474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 70353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258114100
—
FL
01
—
269334
AVMED #
FL
01
—
32418
BLUE CROSS/BLUE SHIELD #
FL
01
—
7557370
CIGNA #
FL
Enumeration date
04/26/2006
Last updated
10/19/2011
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