Provider Demographics
NPI:1174571509
Name:DAUBE, DANIEL CAMPBELL JR (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CAMPBELL
Last Name:DAUBE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4559
Mailing Address - Country:US
Mailing Address - Phone:850-784-7722
Mailing Address - Fax:850-784-6903
Practice Address - Street 1:200 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4559
Practice Address - Country:US
Practice Address - Phone:850-784-7722
Practice Address - Fax:850-784-6903
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2013-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 68517207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 68517OtherMEDICAL LICENSE
FLF36114Medicare UPIN