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Organization

DANIEL C DAUBE JR MD LLC

Active
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Organization

DANIEL C DAUBE JR MD LLC

Active
Other names
Gulf Coast Facial Plastics & E.N.T. Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL CAMPBELL DAUBE JR. M.D. (MEMBER)
(850) 784-7722
Entity
Organization

Contact information

Practice address
200 DOCTORS DR, PANAMA CITY, FL 32405-4559
(850) 784-7722
(850) 784-6903
Mailing address
200 DOCTORS DR, PANAMA CITY, FL 32405-4559
(850) 784-7722
(850) 784-6903

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
FL
207YP0228X
Pediatric Otolaryngology Physician
FL
207YS0123X
Facial Plastic Surgery Physician
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
FL
207YX0602X
Otolaryngic Allergy Physician
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME0068517
FLORIDA MEDICAL LICENSE
FL
Enumeration date
07/09/2006
Last updated
08/15/2013
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