# DAHL MEDICAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1386486108
- **Authorized official:** HARRISON DAHL APRN (OWNER)
- **Authorized official phone:** (646) 831-8415

## Contact information

- **Practice address:** 499 EVERNIA ST APT 620, WEST PALM BCH, FL 33401-5467
- **Practice address phone:** (646) 831-8415
- **Mailing address:** 499 EVERNIA ST APT 620, WEST PALM BCH, FL 33401-5467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2024
- **Last updated:** 06/11/2024