Individual
MS. DANIELLE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASST
Contact information
Practice address
2401 FRIST BLVD STE 4, FORT PIERCE, FL 34950-4800
(772) 466-1567
(772) 466-1595
Mailing address
2401 FRIST BLVD STE 4, FORT PIERCE, FL 34950-4800
(772) 466-1567
(772) 466-1595
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103910
FL
Other
Enumeration date
10/02/2006
Last updated
02/22/2010
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