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Individual

RICHARD TROY DAKE SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
226A SAINT JOE PLAZA DR # 144, PALM COAST, FL 32164-3615
(386) 259-3111
Mailing address
226A SAINT JOE PLAZA DR # 144, PALM COAST, FL 32164-3615
(386) 259-3111

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
344600000X
Taxi
Primary

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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