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Search › Florida › 213ES0103X

Dedrick Daniels, DPM

NPI 1730402975 · on the registry since 2010

Practice

Address
120 King St
Jacksonville, FL 32204
Phone
(904) 760-4904
Fax
(904) 930-4607
Organisation at this address
Agape Pharmacy
Florida Department Of Health
Agape Community Health Center Inc
Agape Community Health Center, Inc.
Agape Community Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 2251 W Elm St, Wrightsville, GA
  • 5460 Blanding Blvd, Jacksonville, FL

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Also registered as
213ES0103X
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-27

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