Individual
MICHAEL DALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2800
(786) 768-2307
Mailing address
650 WEST AVE APT 804, MIAMI BEACH, FL 33139-5545
(786) 768-2307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
237574
NY
207P00000X
Emergency Medicine Physician
Primary
OS 9730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57046
BCBS
FL
01
—
P00361956
RR MCR
—
Enumeration date
06/06/2006
Last updated
01/18/2008
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