Individual
MR. DANTE MARQUISE GASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 BILL FRANCE BLVD STE 200, DAYTONA BEACH, FL 32114-1316
(786) 752-1995
Mailing address
127 CARL BRINKLEY CIR, DAYTONA BEACH, FL 32114-3609
(786) 752-1995
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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