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Individual

ANDRE M DALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
7975 LAKE UNDERHILL RD STE 330, ORLANDO, FL 32822-8210
(844) 407-4070
(407) 743-3050
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
(267) 339-3761

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9112006
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9112006
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103007100
FL
Enumeration date
04/15/2019
Last updated
04/14/2022
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