Individual
DEDRICK MICHELLE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
120 KING ST, JACKSONVILLE, FL 32204-2410
(904) 760-4904
(904) 930-4607
Mailing address
120 KING ST, JACKSONVILLE, FL 32204-2410
(904) 760-4904
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3691
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001172
GA
Other
Enumeration date
03/02/2010
Last updated
04/27/2026
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