Individual provider Active NPI

Daniel Gideon Vanuno, MD

  • Surgery Physician
  • Pembroke Pines, FL
National Provider Identifier
1730360413
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME100015 Issued in FL
Practice address
601 N Flamingo Rd Ste 409
Pembroke Pines, FL 33028-1012
Phone
(954) 844-4480
Fax
(954) 447-5344
NPI assigned
Nov 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME100015 FL Primary

Addresses

Primary practice location

601 N Flamingo Rd Ste 409
Pembroke Pines, FL 33028-1012

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5603

Other identifiers 1

IdentifierTypeStateIssuer
114094500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000359 FL Practitioner - General Surgery 1759450976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

601 N Flamingo Rd
Suite 409
Pembroke Pines, FL 33028-1012
Phone (954) 844-4480

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME100015FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Surgery CurrentSince May 1, 2024 Accepting new patients
South Broward Hospital District CurrentSince May 1, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Nov 27, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Nov 27, 2023 Accepting new patients
South Broward Hospital District Past Accepting new patients
The Surgical Group of Orlando Surgery PastSince Jul 1, 2013 Accepting new patients

Locations

20801 Biscayne Blvd
Ste 203
Aventura, FL 33180
Phone (305) 682-2580

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

601 N Flamingo Rd
Ste 409
Pembroke Pines, FL 33028
Phone (954) 265-4664

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1000 36th St
Ste 244
Vero Beach, FL 32960
Phone (772) 778-9621

3450 11th Ct
Ste 204
Vero Beach, FL 32960
Phone (772) 770-6850

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1730360413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5603",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 409",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281012",
            "telephone_number": "954-844-4480",
            "fax_number": "954-447-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANUNO",
        "first_name": "DANIEL",
        "middle_name": "GIDEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME100015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114094500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.