Individual
DANIEL D DSTTEFFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 S FLORIDA ST, CLARK CLINIC INC, BUSHNELL, FL 33513-6703
(352) 793-2441
Mailing address
212 S FLORIDA ST, CLARK CLINIC INC, BUSHNELL, FL 33513-6703
(352) 793-2441
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18562
PR
208D00000X
General Practice Physician
ACN543
FL
Other
Enumeration date
09/27/2012
Last updated
06/18/2014
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