Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME149436 | FL |
NPI | 1174919328 |
---|---|
Provider Name | Daniel Scott Plessl |
First Address | Vero Beach, FL 32960-4800 |
Second Address | Vero Beach, FL 32960-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2015 |
Last Update Date | 19/08/2021 |