Individual provider Active NPI

Daniel Marc Hameroff, DPM

  • Podiatrist
  • Seminole, FL
National Provider Identifier
1013960251
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2903 Issued in FL
Practice address
10875 Park Blvd.
Ste. C
Seminole, FL 33772
Phone
(727) 398-6650
Fax
(727) 398-6550
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 2903 FL Primary

Addresses

Primary practice location

10875 Park Blvd.
Ste. C
Seminole, FL 33772

Mailing address

10863 Park Blvd
Suite a
Seminole, FL 33772-5423
Phone (727) 398-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000577 FL Practitioner - Podiatry 0345206744 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2903FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adnan Shariff, Inc Podiatrist CurrentSince Apr 17, 2023 Accepting new patients
Adnan Shariff, Inc Podiatrist CurrentSince Apr 17, 2023 Accepting new patients

Locations

235 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-1166

10863 Park Blvd
Ste A
Seminole, FL 33772
Phone (727) 398-6650

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1013960251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10863 PARK BLVD",
            "address_2": "SUITE A",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725423",
            "telephone_number": "727-398-6650",
            "fax_number": "727-398-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 PARK BLVD.",
            "address_2": "STE. C",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33772",
            "telephone_number": "727-398-6650",
            "fax_number": "727-398-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEROFF",
        "first_name": "DANIEL",
        "middle_name": "MARC",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.