Provider Demographics
NPI:1861523359
Name:DANN, O TOWNSEND (MD)
Entity type:Individual
Prefix:DR
First Name:O
Middle Name:TOWNSEND
Last Name:DANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 SW 74TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33143-6271
Mailing Address - Country:US
Mailing Address - Phone:305-665-5677
Mailing Address - Fax:305-665-2226
Practice Address - Street 1:4550 SW 74TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33143-6271
Practice Address - Country:US
Practice Address - Phone:305-665-5677
Practice Address - Fax:305-665-2226
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME335222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD78910Medicare UPIN