Individual
DANIEL E DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1340 RIDGEWOOD AVE, HOLLY HILL, FL 32117-2360
(866) 767-1723
Mailing address
1340 RIDGEWOOD AVE, HOLLY HILL, FL 32117-2360
(863) 676-7172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101408
FL
Other
Enumeration date
02/08/2006
Last updated
03/22/2021
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