Individual
DENNIS DAAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6177 SUN BLVD, ST PETERSBURG, FL 33715-1169
(727) 641-7921
Mailing address
6177 SUN BLVD, ST PETERSBURG, FL 33715-1169
(727) 641-7921
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME15777
FL
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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