Individual
DR. DANIEL KUPERSMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 740-3353
Mailing address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 740-3353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0060984
CO
390200000X
Student in an Organized Health Care Education/Training Program
UO4300
FL
Other
Enumeration date
07/15/2014
Last updated
09/17/2018
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