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Individual

RICHARD MICHAEL DAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13411 PARKER COMMONS BLVD STE 101, FORT MYERS, FL 33912-1873
(239) 415-4900
(239) 337-4901
Mailing address
13411 PARKER COMMONS BLVD STE 101, FORT MYERS, FL 33912-1873
(239) 415-4900
(239) 337-4901

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
112568
FL
207RC0000X
Cardiovascular Disease Physician
ME112568
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005571400
FL
01
14K5L
FLORIDA BLUE
Enumeration date
05/11/2006
Last updated
06/14/2021
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