Individual
DENISE CORAL DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 238-3221
(386) 238-3235
Mailing address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 238-3221
(386) 238-3235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23331
WV
207Q00000X
Family Medicine Physician
23331
WV
208D00000X
General Practice Physician
Primary
MD456007
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013989
—
WV
Enumeration date
06/28/2007
Last updated
03/24/2021
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