Female

Megan H. Daniels PA-C

Surgical Physician Assistant in Melbourne, FL(View on Map)

Full Name

Megan H Daniels PA-C

NPI Number

1417922022

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/18/2006

Specialties

(Taxonomies)

Code

363AS0400X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9102418

Contact
Information

Purpose

Mailing
Location

Address

3300 S FISKE BLVD
1350 S HICKORY ST

City

Rockledge
Melbourne

State

FL
FL

Postal Code

32955-4306
32901-3224

Country

US
US

Telephone Number

(321) 434-1401
(321) 434-1401

Identifiers

Identifier

U3818W
291976100
PA9102418

Identifier State

FL
FL
FL

Identifier Issuer

MEDICARE
Unknown
LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/05/2020

Provider Address

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