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Individual

MR. DANIEL RAY BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
105 MARINER HEALTH WAY, SUITE 213, SAINT AUGUSTINE, FL 32086
(904) 217-4259
(904) 217-4251
Mailing address
3599 UNIVERSITY S BLVD, ATTN: MANAGED CARE, JACKSONVILLE, FL 32216-4252
(904) 345-7607
(904) 345-7284

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29672
FL

Other

Enumeration date
09/19/2014
Last updated
10/13/2016
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