Organization
DALEY AND ASSOCIATES PRIMEMED OF TAMPA BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE A. WALTERS (MPM SPECIALIST)
(302) 233-2532
Entity
Organization
Contact information
Practice address
300 RIVERSIDE DR E, STE 2600, BRADENTON, FL 34208-1008
(941) 251-4933
(941) 251-4934
Mailing address
300 RIVERSIDE DR E, STE 2600, BRADENTON, FL 34208-1008
(941) 251-4933
(941) 251-4934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME92581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273870800
—
FL
Enumeration date
07/17/2013
Last updated
07/17/2013
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