person
Mr. Michael John Dale, PA-C
Medical Physician Assistant in Bradenton, Florida
NPI 1548588262

Michael John Dale is a Medical Physician Assistant based in Sarasota, FL and is specialized in Medical. Michael John Dale practices in Bradenton, FL and has the professional credentials of PA-C. The NPI Number for Michael John Dale is 1548588262 and holds a License No. PA 9105384 (Florida).

The current practice location address for Michael John Dale is 6110 S.r. 70 East (53Rd Ave), Bradenton, FL and can be reached out via phone at 941-755-4242 and via fax at 941-755-1906. You can also correspond with Michael John Dale through the mailing address at PO BOX 25487, SARASOTA, FL - 34277-2487 (mailing address contact number: 941-202-5342).

Location: 6110 S.r. 70 East (53Rd Ave), Bradenton, FL, 34277-2487
person
Provider Profile Details
NPI Number
1548588262
Provider Name
Michael John Dale
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6110 S.r. 70 East (53Rd Ave), Bradenton, FL, 34277-2487
Phone Number
941-755-4242
Fax Number
941-755-1906
Provider Enumeration Date
05/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y0F6V 01 FL BCBS
008214900 05 FL
PA9105384 01 FL FL PHYSICIAN ASSISTANT LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
6110 S.r. 70 East (53Rd Ave)
City
State
Zip
34203
Phone Number
941-755-4242
Fax Number
941-755-1906
person
Provider Business Mailing Address Details
Address
6110 S.r. 70 East (53Rd Ave)
City
State
Zip
34203
Phone Number
941-755-4242
Fax Number
941-755-1906
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 9105384 (Florida)
Definition
Definition to come...
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