Daniel Robert Renuart, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 70353 Issued in FL

Practice address

900 Ingraham Ave
Haines City, FL 33844-4336

Phone

(863) 421-6565

Fax

(863) 421-7474

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: daniel.robert@railroadparkpediatrics.directbygreenway.com

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.

• Daniel R. Renuart, M.D., P.a.

  • Pediatrics Physician
  • Haines City, FL
  • NPI 1346206935
  NPD (past) Authorized official

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1629034673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 INGRAHAM AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444336",
            "telephone_number": "863-421-6565",
            "fax_number": "863-421-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INGRAHAM AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444336",
            "telephone_number": "863-421-6565",
            "fax_number": "863-421-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENUART",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 70353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED #",
            "identifier": "269334",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD #",
            "identifier": "32418",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258114100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA #",
            "identifier": "7557370",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Ramirez, D.C.
• Joselyn M Ramos
• Terry Lloyd Rayfield, RPH
• Remoterehab DME, PLLC
• Remoterehab in-Home Physical Therapy PLLC
• Lea Elizabeth Reyna
• William T Rigby, PTA
• Angel L Rios, MA
• Luis Anibal Rivera Lugo, FNP
• Rivera Primary Care Inc

• Pediatrics Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.