Individual
DANIELLE MARIE BAKALAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2621 CLEVELAND AVE, FORT MYERS, FL 33901-5802
(239) 425-1270
(239) 479-7708
Mailing address
15051 S TAMIAMI TRL, SUITE 203, FORT MYERS, FL 33908-5182
(239) 437-8810
(239) 313-2555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109626
FL
Other
Enumeration date
12/31/2012
Last updated
11/23/2016
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