# DALTON MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003194481
- **Authorized official:** GLORIA M DALTON DOM AP (MANAGER)
- **Authorized official phone:** (941) 706-1490

## Contact information

- **Practice address:** 1219 S EAST AVE, STE 202, SARASOTA, FL 34239-2340
- **Practice address phone:** (941) 706-1490
- **Mailing address:** 33 S GULFSTREAM AVE UNIT 609, SARASOTA, FL 34236-8938
- **Mailing address phone:** (941) 706-1490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2011
- **Last updated:** 08/02/2011