Organization
DALE R TRAFICANTE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE ROBERT TRAFICANTE MD (OWNER)
(386) 274-5757
Entity
Organization
Contact information
Practice address
1890 LPGA BLVD, SUITE 220, DAYTONA BEACH, FL 32117-7138
(386) 274-5757
(386) 274-1992
Mailing address
1890 LPGA BLVD, SUITE 220, DAYTONA BEACH, FL 32117-7138
(386) 274-5757
(386) 274-1992
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME75370
FL
Other
Enumeration date
09/19/2012
Last updated
07/17/2013
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