Daniel Dalton Cody, RN

Individual provider Active NPI General Practice Registered Nurse · Bunnell, FL

NPI 1558032755 · NPPES record last updated Sep 27, 2021

Key facts

NPI
1558032755
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
RN9551655 (FL)
Practice address
8276 County Road 304
Bunnell, FL 32110-5708
Phone
(386) 283-3309
NPI assigned
Sep 27, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9551655FLMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN9551655 FL Yes

Addresses

Primary practice location

8276 County Road 304
Bunnell, FL 32110-5708

Mailing address

8276 County Road 304
Bunnell, FL 32110-5708
Phone (386) 283-3309

Other practice location 1

1235 San Marco Blvd
Jacksonville, FL 32207-8554
Phone (904) 271-6000

Other providers in Bunnell, FL

All providers in Bunnell, FL · General Practice Registered Nurse in Florida

Sources for this page

Verify at the official NPI Registry.