DANIEL R. RENUART, MD, PA (NPI# 1801900451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801900451 |
| Entity Type | Organization |
| Organization Name | DANIEL R. RENUART, MD, PA |
| Other Organization Name | FOUR CORNERS PEDIATRICS |
| Practice Address |
2506 Sand Mine Rd Davenport FL 33897-3402 |
| Practice Telephone | 8634248966 |
| Practice Fax Number | 8634248825 |
| Mailing Telephone | 8634248966 |
| Mailing Fax Number | 8634248825 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | DANIEL ROBERT RENUART (PRESIDENT) |
| Authorized Official Telephone | 8634248966 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME70353 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 272383201 | 05 |
| Other Name | Type Code |
|---|---|
| Four Corners Pediatrics | Doing Business As Name - Organization |
| Street Address |
2506 SAND MINE RD |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33897-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285664250 | Mark Griffo | Obstetrics & Gynecology | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2006-07-04 |
| 1700398336 | Dana Gant | Nurse Practitioner | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2017-11-05 |
| 1790185981 | Pediatric Care of Four Corners Pllc | Pediatrics | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2014-08-26 |
| 1982622379 | Trudi Griffo | Obstetrics & Gynecology | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182703 | Isis Orozco | Case Management | 9031 Pelican Cove, Davenport, FL 33897 | 2020-07-24 |
| 1669001178 | Jean Maxcene Decarde | Clinic/Center | 548 Solana Circle, Davenport, FL 33897 | 2020-04-06 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
| 1033687108 | Detsy Z Negron | Registered Nurse | 121 Champions Vue Loop, Apt 101, Davenport, FL 33897 | 2018-11-07 |
| 1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
| 1790198323 | Compassionate Home Health Care LLC | Non-emergency Medical Transport (VAN) | 248 Plumoso Loop, Davenport, FL 33897 | 2014-06-11 |
| 1740530542 | Santiago Lopez | Chiropractor | 170 Hastead Dr, Davenport, FL 33897 | 2012-09-19 |
| 1942471685 | Carolina Gemma Leuthner | Speech-Language Pathologist | 736 Rodchester Loop, Davenport, FL 33897 | 2008-03-21 |
| 1013926377 | Omayra Torres | Dentist | 7700 Lake Wilson Road, Davenport, FL 33897 | 2006-08-05 |
| Find all providers in zip 33897 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114949575 | Edwin Michael C Sia | Pediatrics | 103 Park Place Blvd, Davenport, FL 33837-6858 | 2006-07-24 |
| 1700807070 | Harpreet K Kahlon | Pediatrics | 101 Park Place Blvd, Suite A, Davenport, FL 33837-6858 | 2006-07-22 |
| 1740273713 | Eiman Elsayed | Pediatrics | 2508 Sand Mine Rd, Davenport, FL 33897-3402 | 2005-08-25 |
| 1245236587 | Majdi A Omar | Pediatrics | 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807-2935 | 2005-06-22 |
| 1083619571 | Nazir Y Kayali | Pediatrics | 5510 Utica Ridge Rd 100, Davenport, IA 52807-2935 | 2005-06-20 |
| 1659376556 | Sharon Kay Mcelhinney | Pediatrics | 3200 W Kimberly Road, Davenport Healthplex, Peds, Davenport, IA 52806 | 2005-06-16 |
| 1790185981 | Pediatric Care of Four Corners Pllc | Pediatrics | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2014-08-26 |
| 1619387891 | Husam Saba Elias Ghawi | Pediatrics | 500 W River Dr, Davenport, IA 52801-1014 | 2014-04-28 |
| 1841623469 | Swetha Reddy Kandula | Pediatrics | 500 W River Dr, Davenport, IA 52801-1014 | 2013-08-19 |
| 1831459759 | Elise Bream | Pediatrics | 3200 W Kimberly Rd, Davenport, IA 52806-3059 | 2012-05-24 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.