Individual
DANIEL FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1665 DUNLAWTON AVE, SUITE 107, PORT ORANGE, FL 32127-2919
(904) 770-2333
Mailing address
1665 DUNLAWTON AVE, SUITE 107, PORT ORANGE, FL 32127-2919
(904) 770-2333
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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