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Individual

DR. ANSLEY LORCH DAFNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3301 ANNA GEORGE DR, VALRICO, FL 33596-6435
(813) 431-5052
(813) 308-1460
Mailing address
3301 ANNA GEORGE DR, VALRICO, FL 33596-6435
(813) 308-1460

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME138583
FL
207Q00000X
Family Medicine Physician
TRN22956
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103583600
FL
Enumeration date
06/22/2016
Last updated
05/10/2024
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