Individual
ANDREW P DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-7700
(904) 407-6001
Mailing address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-7700
(904) 407-6001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56034
TN
207P00000X
Emergency Medicine Physician
ME61517
FL
207Q00000X
Family Medicine Physician
13573
SC
207Q00000X
Family Medicine Physician
27686
AL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
0101246311
VA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
61517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135730
—
SC
01
—
203013
MEDCOST
SC
05
—
5908498
—
NC
01
—
7227499
AETNA
SC
01
—
C06778
GROUP PTAN
VA
Enumeration date
08/03/2006
Last updated
02/15/2021
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