John Donald Dalack II
Individual provider Active NPI Substance Abuse Rehabilitation Facility · Jupiter, FL
NPI 1851751945 · NPPES record last updated Mar 2, 2016
Key facts
- NPI
- 1851751945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- AP3620 (FL)
- Practice address
- 126 Center St
Suite B7
Jupiter, FL 33458-4373 - Phone
- (561) 427-7620
- NPI assigned
- Mar 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3620 | FL | MD | Substance Abuse Rehabilitation Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delp Chiropractic | Current |
Accepting new patients | |
| Traditional Physicians LLC | Substance Abuse Rehabilitation Facility | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | AP3620 | FL | Yes |
Addresses
Primary practice location
126 Center St
Suite B7
Jupiter, FL 33458-4373
Mailing address
225 Golfview Dr
Tequesta, FL 33469-1922
Phone (561) 427-7620
Other providers in Jupiter, FL
- Andri Dagnyjarson
- Angela Dagrosa
- Lynne Dahlstrom
- Amanda Leigh Dailey
- Julianna Dainotto
- Jason Dale
- Hannah Nhat Dam
- Monique Damico
- Dana M Goldberg MD LLC
- Perlas Filipinas Puno Dang-Awan
All providers in Jupiter, FL · Substance Abuse Rehabilitation Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.