Individual
DANIEL J INDELICATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 JEFFERSON ST, JACKSONVILLE, FL 32206-3531
(904) 588-1263
Mailing address
PO BOX 116304, ATLANTA, GA 30368-6304
(904) 588-1263
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME100900
FL
2085R0001X
Radiation Oncology Physician
TRN7768
FL
Other
Enumeration date
10/16/2006
Last updated
12/13/2011
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