MEDICARE: DALTON TEAGUE

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
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1679436471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALTON TEAGUE

Provider Business Mailing Address
First Line	:	305 S OCEAN GRANDE DR
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-4594
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 S OCEAN GRANDE DR
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-4594
Country	:	US
Telephone Number	:	334-728-5543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1720033616 — CATALINA HEALTH CARE ASSOCIATES LLC
Practice Location Address:

820 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
32117-4594

Practice Phone: 386-274-4575
Practice Fax: 386-274-5020

1932361896 — MRS. SUSAN VANDERWERF HICKS RPH
Practice Location Address:

400 AUDUBON DR
MIRAMAR BEACH, FL
32550-4594

Practice Phone: 850-267-6767
Practice Fax:

1659607463 — MF HALIFAX, LLC
Practice Location Address:

820 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
32117-4594

Practice Phone: 386-274-4575
Practice Fax:

1922341817 — SANDESTIN URGENT CARE, LLC
Practice Location Address:

400 AUDUBON DR
MIRAMAR BEACH, FL
32550-4594

Practice Phone: 850-267-6767
Practice Fax:

1720418809 — ROBIN C REMARK-ZARATE M.D.
Practice Location Address:

400 AUDUBON DR
MIRAMAR BEACH, FL
32550-4594

Practice Phone: 850-267-6767
Practice Fax:

1154743722 — SANDESTIN CLINICAL SERVICES, LLC
Practice Location Address:

400 AUDUBON DR
MIRAMAR BEACH, FL
32550-4594

Practice Phone: 850-267-6767
Practice Fax:

Directions to “ DALTON TEAGUE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.