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Daniel Wackerly
NPI 1699045096 · on the registry since 2012
Practice
- Address
- 960 Backstage Ln
Lake Buena Vista, FL 32830 - Phone
- (407) 934-2030
- Fax
- (407) 934-2031
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida