Individual
DANIEL DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(800) 476-8646
(919) 382-3210
Mailing address
PO BOX 30731, TAMPA, FL 33630-3731
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258402600
—
FL
Enumeration date
06/01/2005
Last updated
08/04/2010
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