Individual provider · Type 1 NPI

Michael John Dale, PA-C

Medical Physician Assistant · Bradenton, FL

NPI number 1548588262 Active

Practice location

6110 S.r. 70 East (53RD Ave)
Bradenton, FL 34203

Call (941) 755-4242 Map

Fax (941) 755-1906

Mailing address

PO Box 25487
Sarasota, FL 34277-2487

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 9105384 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1548588262

Michael John Dale, PA-C's National Provider Identifier is 1548588262, issued on May 5, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bradenton, FL. The record was last updated on Dec 7, 2016.