Traficante, Dale Robert

Traficante, Dale Robert is an individual health care provider with primary practice located at 1890 Lpga Blvd Suite 220, Daytona Beach FL 32117-7130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Traficante, Dale Robert can be contacted via phone (386) 274-5757.

Contact Information

Primary practice address
1890 Lpga Blvd Suite 220 Daytona Beach FL 32117-7130
Phone: (386) 274-5757
Fax: (386) 274-1992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0075370 Florida

Profile Details

NPI number 1548225378
LBN Legal business name Traficante, Dale Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548225378 NPPES
Florida Other 2739219 CIGNA PROVIDER NUMBER
Florida Other 44815 CIGNA PROVIDER NUMBER

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