Individual
DR. DALE ROBERT TRAFICANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1890 LPGA BLVD, SUITE 220, DAYTONA BEACH, FL 32117-7130
(386) 274-5757
(386) 274-1992
Mailing address
1890 LPGA BLVD, SUITE 220, DAYTONA BEACH, FL 32117-7130
(386) 274-5757
(386) 274-1992
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0075370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2739219
CIGNA PROVIDER NUMBER
FL
01
—
44815
BCBS OF FL
FL
Enumeration date
04/17/2006
Last updated
07/17/2013
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