DR. DALE ROBERT TRAFICANTE (NPI# 1548225378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548225378 |
| Entity Type | Individual |
| Full Name | DR. DALE ROBERT TRAFICANTE |
| Credential | MD |
| Practice Address |
1890 Lpga Blvd Suite 220 Daytona Beach FL 32117-7130 |
| Practice Telephone | 3862745757 |
| Practice Fax Number | 3862741992 |
| Mailing Telephone | 3862745757 |
| Mailing Fax Number | 3862741992 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME0075370 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA PROVIDER NUMBER | 2739219 | 01 |
| FL | BCBS OF FL | 44815 | 01 |
| Street Address |
1890 LPGA BLVD SUITE 220 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-7130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809122 | Primecare At Twin Lakes LLC | Clinic/Center | 1890 Lpga Blvd, Ste 130, Daytona Beach, FL 32117-7130 | 2005-05-23 |
| 1649601485 | Primecare Acquisition Inc | Non-Pharmacy Dispensing Site | 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7130 | 2013-12-04 |
| 1093069395 | James T Sutton Md Pa | Surgery | 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117-7130 | 2012-11-08 |
| 1659622686 | Michael P. Harrington, M.d., P.a. | Surgery | 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117-7130 | 2012-10-01 |
| 1598015398 | Dale R Traficante Md Pa | Urology | 1890 Lpga Blvd, Suite 220, Daytona Beach, FL 32117-7138 | 2012-09-19 |
| 1962777185 | David G Ramshaw Md Pa | Specialist | 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117-7130 | 2012-03-21 |
| 1114201647 | Surgical Associates of Volusia | Specialist | 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7130 | 2011-10-03 |
| 1154601706 | Primecare At Twin Lakes LLC | Clinic/Center | 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7130 | 2011-08-26 |
| 1225328289 | Florida Woman Care, LLC | Obstetrics & Gynecology | 1890 Lpga Blvd, Suite 160, Daytona Beach, FL 32117-7130 | 2011-04-12 |
| 1255644969 | Florida Endovascular Specialists LLC | Radiology | 1890 Lpga Blvd, Suite 140, Daytona Beach, FL 32117-7130 | 2010-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932148509 | John Elbert Greene | Urology | 311 N Clyde Morris Blvd Ste 480, Daytona Beach, FL 32114-2766 | 2006-06-06 |
| 1407812092 | Atlantic Urological Associates P A | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-04-24 |
| 1063484848 | Sean Tirney | Urology | 1925 S Atlantic Ave, Suite #609, Daytona Beach, FL 32118-5026 | 2006-02-06 |
| 1598015398 | Dale R Traficante Md Pa | Urology | 1890 Lpga Blvd, Suite 220, Daytona Beach, FL 32117-7138 | 2012-09-19 |
| 1598054751 | Samuel M. Lawindy | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2011-03-28 |
| 1790949873 | Evan Fynes | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2008-07-17 |
| 1043416506 | Shawn Wayne Thomas | Urology | 311 N Clyde Morris Blvd Ste 360, Daytona Beach, FL 32114-2757 | 2007-06-22 |
| 1659586840 | Atlantic Urological Associates P A | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2007-05-11 |
| 1114148574 | Atlantic Urological Associates P A | Urology | 1620 Mason Ave, Suite E, Daytona Beach, FL 32117-7802 | 2007-05-02 |
| 1548481054 | Atlantic Urological Associates P A | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2007-05-01 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.