Organization
DANIEL DSTTEFFANO, MD & ASSOCIATES
Active
Other names
Mindful Balance and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DSTTEFFANO MD (OWNER)
(352) 261-0107
Entity
Organization
Contact information
Practice address
719 BENTON AVE, BROOKSVILLE, FL 34601-3213
(352) 261-0107
(352) 559-8685
Mailing address
719 BENTON AVE, BROOKSVILLE, FL 34601-3213
(352) 261-0107
(352) 559-8685
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
ACN563
FL
261QP2300X
Primary Care Clinic/Center
ACN563
FL
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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