DANIEL J INDELICATO

JACKSONVILLE, FL
NPI1356431688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: FL  ME100900)
Additional Taxonomies2085R0001X 
(Licence: FL  TRN7768)
Enumeration Date2006-10-16
Last Update Date2011-12-13
Business Address
-- DANIEL J INDELICATO MD
2015 JEFFERSON ST
JACKSONVILLE, FL 32206-3531
Phone number: 904-588-1263
Mailing Address
-- DANIEL J INDELICATO MD
PO BOX 116304
ATLANTA, GA 30368-6304
Phone number: 904-588-1263
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