Daniel R. Renuart, MD, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME70353 Issued in FL

Legal business name

DANIEL R. RENUART, MD, PA

Practice address

2506 Sand Mine Rd
Davenport, FL 33897-3402

Phone

(863) 424-8966

Fax

(863) 424-8825

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Robert Renuart, M.D.

Title

President

Phone

(863) 424-8966

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Four Corners Pediatrics Doing business as

Tax ID family

Daniel R Renuart MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Daniel R. Renuart, M.D., P.a.

  • Pediatrics Physician
  • Haines City, FL
  • NPI 1346206935
  NPD tax ID

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1801900451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 SAND MINE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973402",
            "telephone_number": "863-424-8966",
            "fax_number": "863-424-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 SAND MINE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973402",
            "telephone_number": "863-424-8966",
            "fax_number": "863-424-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R. RENUART, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "RENUART",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-424-8966",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME70353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272383201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Corners Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyndon Lagunzad Cutillar, PA-C
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• Beverly Dabrio
• Ophelia Dacosta-Green, APRN
• Dao-Nguyen DMD PA
• Anna A Dao, DMD
• Davenport Ambulatory Surgery Center, L.L.C.
• Davenport Anesthesia Group LLC
• Davenport Dental Associates LLC

• Pediatrics Physician in Davenport, FL
• Providers in Davenport, 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.