Individual
JAMIE DYLAN DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 SE 3RD AVE, OCALA, FL 34471-5114
(352) 867-8551
(352) 867-7669
Mailing address
2301 SE 3RD AVE, OCALA, FL 34471-5114
(352) 867-8551
(352) 867-7669
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME93416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275026100
—
FL
Enumeration date
08/12/2006
Last updated
07/08/2007
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