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NPI Code Detail

MEDICARE: MR. DONNIE D DANCE OD

MEDICARE: MR. DONNIE D DANCE OD
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
1152W00000XOptometristOPC882FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OPC882OTHERFLFL LICENSE

General Provider Information

NPI Number : 1346477320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONNIE D DANCE OD
Provider Business Mailing Address
First Line : 3535 APALACHEE PKWY
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-5330
Country : US
Telephone Number : 850-219-0788
Fax Number : 850-878-6138
Provider Business Practice Location Address
First Line : 3535 APALACHEE PKWY
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-5330
Country : US
Telephone Number : 850-219-0788
Fax Number : 850-878-6138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2009
Last Update Date : 06/14/2026

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