Individual
DOUGLAS DYLAN DANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5548 W TICE CT, HOMOSASSA, FL 34446-2422
(352) 807-2284
Mailing address
5548 W TICE CT, HOMOSASSA, FL 34446-2422
(352) 807-2284
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D500164714280
FL
172A00000X
Driver
—
FL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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