Individual
MR. DANIEL RAY PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
201 FOREST PARK CIR, PANAMA CITY, FL 32405-4916
(850) 248-7777
(850) 248-7779
Mailing address
7301 WEST BLVD STE A1, BOARDMAN, OH 44512-5268
(330) 758-2775
(330) 758-2787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106119
FL
Other
Enumeration date
08/31/2011
Last updated
05/06/2021
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