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Organization
DANIEL R PRENTICE PA-C PA
Active
Organization
DANIEL R PRENTICE PA-C PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL R PRENTICE PA-C (OWNER)
(352) 597-4686
Entity
Organization
Contact information
Practice address
10270 BERNARDA CT, SPRING HILL, FL 34608-1200
(352) 597-4686
(352) 597-4686
Mailing address
10270 BERNARDA CT, SPRING HILL, FL 34608-1200
(352) 597-4686
(352) 597-4686
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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