Individual
MR. DANIEL CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 STONY FORD DR, PONTE VEDRA, FL 32081-6050
(216) 534-0118
Mailing address
153 STONY FORD DR, PONTE VEDRA, FL 32081-6050
(216) 534-0118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12935
FL
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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