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NPI Code Detail

MEDICARE: MICHAEL DAVID DAILY PT

MEDICARE: MICHAEL DAVID DAILY PT
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
1225100000XPhysical TherapistPT7372FL

General Provider Information

NPI Number : 1235348541
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL DAVID DAILY PT
Provider Business Mailing Address
First Line : 1529 PENMAR AVE
Second Line : APT 2
City : VENICE
State : CA
Zip : 90291-2961
Country : US
Telephone Number : 562-347-8826
Fax Number :
Provider Business Practice Location Address
First Line : 1008 ARBOR LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3918
Country : US
Telephone Number : 904-448-5075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 09/15/2016

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Directions to “ MICHAEL DAVID DAILY PT” Practice Location

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