Individual
MR. JOHN DONALD DALACK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 CENTER ST, SUITE B7, JUPITER, FL 33458-4373
(561) 427-7620
Mailing address
225 GOLFVIEW DR, TEQUESTA, FL 33469-1922
(561) 427-7620
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
AP3620
FL
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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