Individual
RAYMUND M DALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3476 S UNIVERSITY DR, DAVIE, FL 33328-2000
(954) 475-4386
(954) 475-5891
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(954) 475-4386
(954) 475-5891
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME92580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13268
BCBS OF FLORIDA
FL
05
—
274465100
—
FL
Enumeration date
09/22/2006
Last updated
08/20/2024
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