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NPI Code Detail

MEDICARE: DEAN E EHLY LCSW

MEDICARE: DEAN E EHLY LCSW
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
11041C0700XClinical Social Worker408AK

General Provider Information

NPI Number : 1063474328
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEAN E EHLY LCSW
Provider Business Mailing Address
First Line : 551 NATIONAL HEALTH CARE DR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-1495
Country : US
Telephone Number : 386-323-7530
Fax Number : 386-323-7521
Provider Business Practice Location Address
First Line : 551 NATIONAL HEALTH CARE DR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-1495
Country : US
Telephone Number : 386-323-7530
Fax Number : 386-323-7521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 07/21/2022

Similar Medicare Providers

1154318483 — JOHN S ZWIRZ RPH
Practice Location Address:
551 NATIONAL HEALTH CARE DR
DAYTONA BEACH, FL
32114-1495
Practice Phone: 386-323-7500
Practice Fax:
1639166705 — MR. WAYNE ALAN KNOCKE RPH
Practice Location Address:
551 NATIONAL HEALTH CARE DR
DAYTONA BEACH, FL
32114-1495
Practice Phone: 386-323-7500
Practice Fax:
1356308852 — DR. DIANNE KOWING O.D.
Practice Location Address:
551 NATIONAL HEALTH CARE DR
DAYTONA BEACH, FL
32114-1495
Practice Phone: 386-323-7500
Practice Fax: 386-323-7564
1699724807 — DR. ROGER HARRISON BOWER M.D.
Practice Location Address:
551 NATIONAL HEALTH CARE DR
DAYTONA BEACH, FL
32114-1495
Practice Phone: 386-323-7541
Practice Fax: 386-323-7570
1346292885 — MR. PATRICK JOHN OBRIEN LCSW CAP
Practice Location Address:
551 NATIONAL HEALTH CARE DR
DAYTONA BEACH, FL
32114-1495
Practice Phone: 386-323-7500
Practice Fax:
1558397935 — MS. NANCY T SOFIAK M.A.
Practice Location Address:
551 NATIONAL HEALTH CARE DR
DAYTONA BEACH, FL
32114-1495
Practice Phone: 386-323-7500
Practice Fax: 386-323-7570

Directions to “ DEAN E EHLY LCSW” Practice Location

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