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Individual

DANIEL CHARLES DANTINI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
29 OLD KINGS RD N, SUITE 6A, PALM COAST, FL 32137-8231
(386) 446-2202
(386) 597-2975
Mailing address
29 OLD KINGS RD N, SUITE 6A, PALM COAST, FL 32137-8231
(386) 446-2202
(386) 597-2975

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME15778
FL
207YX0602X
Otolaryngic Allergy Physician
Primary
ME 0015778
FL

Other

Enumeration date
11/02/2006
Last updated
05/16/2024
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