Individual
DANIEL TENNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 SW 60TH CT STE 104, MIAMI, FL 33155-4069
(718) 283-7710
Mailing address
3200 SW 60TH CT STE 104, MIAMI, FL 33155-4069
(182) 837-7107
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
162026
FL
208800000X
Urology Physician
ME162026
FL
2088P0231X
Pediatric Urology Physician
Primary
ME162026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120751800
—
FL
Enumeration date
03/24/2017
Last updated
04/07/2026
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