Individual
DR. DEDRIX BENJAMIN DAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
122 N BREVARD AVE, ARCADIA, FL 34266-4404
(863) 491-7585
(863) 491-7588
Mailing address
700 8TH AVE W, STE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4785
FL
152WL0500X
Low Vision Rehabilitation Optometrist
0618002165
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013849400
—
FL
01
—
H04587
MEDICARE PTAN
FL
Enumeration date
07/05/2012
Last updated
03/27/2017
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