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NPI Code Detail

MEDICARE: DR. DANIEL JOSEPH PRUGAR DC

MEDICARE:  DR. DANIEL JOSEPH PRUGAR  DC
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
1111N00000XChiropractor14446FL

General Provider Information

NPI Number : 1770271348
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL JOSEPH PRUGAR DC
Provider Business Mailing Address
First Line : 958 VILLAGE TRL APT 208
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-4728
Country : US
Telephone Number : 410-652-0293
Fax Number :
Provider Business Practice Location Address
First Line : 403 DOWNING ST
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32168-7109
Country : US
Telephone Number : 386-492-7931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 05/13/2024

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Directions to “ DR. DANIEL JOSEPH PRUGAR DC” Practice Location

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