Individual
DANNIE EARL BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S NOVA RD, SUITE A, ORMOND BEACH, FL 32174-7362
(386) 676-0505
(386) 676-0788
Mailing address
PO BOX 730607, ORMOND BEACH, FL 32173-0607
(386) 676-0505
(386) 676-0788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME62671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371526400
—
FL
Enumeration date
10/23/2006
Last updated
10/14/2010
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