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Individual

DR. DANIEL J GASSERT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
216 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 824-6108
(904) 823-9613
Mailing address
216 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 824-6108
(904) 823-9613

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0095376
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME0095376
FLORIDA LICENSE NUMBER
FL
Enumeration date
04/03/2006
Last updated
07/08/2007
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