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NPI Code Detail

MEDICARE: DR. DANA D DAMERON JR. D.O.

MEDICARE: DR. DANA D DAMERON JR. D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOS11959FL

General Provider Information

NPI Number : 1013242932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA D DAMERON JR. D.O.
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 305-628-6117
Fax Number : 305-393-5989
Provider Business Practice Location Address
First Line : 2724 N HIAWASSEE RD STE 100
Second Line :
City : ORLANDO
State : FL
Zip : 32818-3003
Country : US
Telephone Number : 407-906-0082
Fax Number : 407-604-2606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2009
Last Update Date : 01/07/2026

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