Individual
DAMON FLORIAN DICHARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2200 OSPREY BLVD, BARTOW, FL 33830-3308
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA106087
FL
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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