Individual
DR. DANIEL KAO-LYN DAGENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-2003
Mailing address
12571 COSTAS WAY, JACKSONVILLE, FL 32246-0014
(240) 285-6375
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2024-02829
NC
207P00000X
Emergency Medicine Physician
Primary
OS22462
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
07/28/2025
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