Organization
RAE DANIEL
Active
Other names
Rae Daniel
Organization subpart
No
Provider details
NPI number
Authorized official
RAE DANIEL (OWNER)
(407) 580-0333
Entity
Organization
Contact information
Practice address
5621 LAKE MARY JESS SHORES CT, ORLANDO, FL 32839-2992
(407) 580-0333
Mailing address
5621 LAKE MARY JESS SHORES CT, ORLANDO, FL 32839-2992
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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