DR. MICHAEL DOUGLAS DALEY (NPI# 1770821811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770821811 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DOUGLAS DALEY |
| Credential | MD |
| Practice Address |
1147 Se Graham Ct Lake City FL 32025-2841 |
| Practice Telephone | 7272387672 |
| Mailing Telephone | 3523392560 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | RPT22570 | FL | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
22570 | FL | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3135 1st Ave N, 13214, St Petersburg, FL 337339461 | 3523392560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404099 | Michael F. Daley | Nurse Practitioner | 11 Westminster Avenue, Walpole, NH 03608 | 2006-02-06 |
| 1134104409 | Michael P Daley | Chiropractor | 107 5th St Se Ste 9, Barberton, OH 44203-4269 | 2005-12-09 |
| 1457971145 | Michael D Daley | Registered Nurse | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-04-22 |
| 1164906780 | Michael Conley Daley | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2018-09-19 |
| 1992159206 | Michael Daley | Emergency Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2016-04-22 |
| 1598060923 | Michael Robert Daley | Dentist | 357 S Gulph Rd, King of Prussia, PA 19406-3136 | 2011-01-15 |
| 1770752552 | Michael Daley | Counselor | 184 Deerfield Rd, Windsor, CT 06095-4252 | 2008-02-26 |
| 1427236421 | Michael J Daley | Social Worker | 361 High St, Pottstown, PA 19464 | 2008-02-01 |
| 1437372539 | Michael Daley | Case Manager/Care Coordinator | 712 South Ave, Pittsburgh, PA 15221-2940 | 2007-04-10 |
| 1982797213 | Michael Warren Daley | Counselor | 309 S Main St, Suite 200, Rochester, MI 48307-6703 | 2006-09-30 |
| Street Address |
1147 SE GRAHAM CT |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932720356 | Baypharm Health Systems | Pharmacy | 1147 Se Graham Ct, Lake City, FL 32025-2841 | 2020-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| 1508497256 | Celestina Pak | Pharmacist | 5664 Jonesboro Rd, Lake City, GA 30260-3808 | 2020-01-31 |
| 1548690712 | Kristi Avinger | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2013-11-25 |
| 1447572037 | Crystal Anne Ferwerda | Pharmacist | 368 Ne Franklin St, Lake City, FL 32055-3088 | 2010-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
| 1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
| 1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
| 1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
| 1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
| 1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL DOUGLAS DALEY.
| 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.