DANIEL DANIELS

ROCKLEDGE, FL
NPI1134121445
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9102480)
Enumeration Date2005-06-01
Last Update Date2010-08-04
Business Address
-- DANIEL DANIELS PA
110 LONGWOOD AVE
ROCKLEDGE, FL 32955-2828
Phone number: 800-476-8646
Mailing Address
-- DANIEL DANIELS PA
PO BOX 30731
TAMPA, FL 33630-3731
Phone number: 800-476-8646
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