| Daly Integrated Medical Group, Llc | |
|
2708 Garden St Titusville FL 32796-3120 | |
| (321) 267-4324 | |
| Not Available |
| Full Name | Daly Integrated Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2708 Garden St, Titusville, Florida |
| Authorized Official Name and Position | David Daly (OWNER) |
| Authorized Official Contact | 3212674324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daly Integrated Medical Group, Llc 2708 Garden St Titusville FL 32796-3120 Ph: () - | Daly Integrated Medical Group, Llc 2708 Garden St Titusville FL 32796-3120 Ph: (321) 267-4324 |
| NPI Number | 1346885514 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 11/12/2019 |
| Medicare PECOS PAC ID | 6709213101 |
|---|---|
| Medicare Enrollment ID | O20200225000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346885514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | David G Daly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831120138 PECOS PAC ID: 9537248125 Enrollment ID: I20120801000199 |
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