Individual
DR. DANIEL JACKSON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
4340 W NEWBERRY RD STE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393
Mailing address
4340 W NEWBERRY RD STE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME99654
FL
207YS0123X
Facial Plastic Surgery Physician
ME99654
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME99654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02426
BCBS
FL
01
—
312072
AVMED
FL
01
—
7787299
AETNA
FL
Enumeration date
07/19/2006
Last updated
04/17/2025
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