MEDICARE: DALYNES CANCEL LMT

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	225700000X	Massage Therapist	MA0040707	FL

General Provider Information

NPI Number	:	1750398368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALYNES CANCEL LMT

Provider Business Mailing Address
First Line	:	1223 POLK CT
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32738-6936
Country	:	US
Telephone Number	:	386-574-9186
Fax Number	:

Provider Business Practice Location Address
First Line	:	1223 POLK CT
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32738-6936
Country	:	US
Telephone Number	:	386-574-9186
Fax Number	:

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/08/2007

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