DR. DANIELLE MOOSHOL DPM
NPI 1689021578
Podiatrist - Foot & Ankle Surgery in Daytona Beach, FL
Active since May 20, 2016
About Dr. Danielle Mooshol Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DANIELLE MOOSHOL DPM (NPI 1689021578) is an individual foot & ankle surgery provider in Daytona Beach, Florida, licensed in Florida (PO4416) and active in the NPI registry since May 2016.
NPPES Registry Identity
NPI1689021578
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. DANIELLE MOOSHOLCredential: DPM
Location Address1890 LPGA BLVD STE 230Daytona Beach, FL 32117-7131
Mailing Address1890 Lpga Blvd Ste 230Daytona Beach, FL 32117-7131 · (386) 274-3336
Phone(386) 274-3336
Sole ProprietorNo
Enumeration DateMay 20, 2016
Last NPPES UpdateOctober 26, 20227 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1689021578 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 4
★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in FL · PO4416✔ Licensed in HI · PO230
Also ListedPodiatristTaxonomy 213E00000X · License PO61045806 (WA)
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License PO230 (HI)
Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License PO230 (HI)
1890 LPGA BLVD STE 230, Daytona Beach, FL 32117
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Podiatrist (Foot & Ankle Surgery)
1890 LPGA BLVD STE 230
DAYTONA BEACH, FL 32117
DAYTONA BEACH, FL 32117
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689021578, enumerated as an "individual" on May 20, 2016.
The provider is located at 1890 LPGA BLVD STE 230 DAYTONA BEACH, FL 32117 and the phone number is (386) 274-3336.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.