Individual
LOUISE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1838 OCEAN FRONT, NEPTUNE BEACH, FL 32266-4857
(904) 249-1667
Mailing address
1838 OCEAN FRONT, NEPTUNE BEACH, FL 32266-4857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010139513
VA
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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