IndividualActive
Daniel Kan, MD
NPI 1609805977 · Addiction Psychiatry Physician · Wildwood, FL
Provider details
- NPI number
- 1609805977
- Entity type
- Individual
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD0000038597 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4056 E Sr 44
Wildwood, FL 34785-7486
Phone: (352) 268-0003
Fax: (855) 642-1129
Street-level locationGet directions
Mailing address
753 Highway 466
Lady Lake, FL 32159-6340
Additional practice locations (1)
- 17190 Se 109th Terrace RdSummerfield, FL 34491-9017Phone: (352) 268-0003Fax: (855) 642-1129
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2021-08-12
- Certified
- 2021-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.