Daniel Shlyak, MD
Student in an Organized Health Care Education/Training Program in South Miami, FL. Individual provider (NPI-1).
NPI number1003545260
StatusActive
Last updated in NPPESJun 5, 2022
Details
- NPI
- 1003545260
- Entity type
- Individual (NPI-1)
- Name
- Daniel Shlyak
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2022
- Certification date
- Jun 5, 2022
- Last updated
- Jun 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | TRN35102 | FL | Yes |
Practice location
7031 Sw 62nd AveSouth Miami, FL 33143-4701
Phone 305-284-7761
Mailing address
6001 Sw 70th St Apt 210South Miami, FL 33143-3421
Phone 217-801-5693
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