Individual provider · NPI-1

Dr. Bryan Joseph Dangott, M.D.

Pathology, Clinical Pathology/Laboratory Medicine · Jacksonville, FL

NPI number1639340045
StatusActive
Last updated in NPPESOct 2, 2020

Details

NPI
1639340045
Entity type
Individual (NPI-1)
Name
Dr. Bryan Joseph Dangott
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 13, 2008
Certification date
Oct 2, 2020
Last updated
Oct 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory MedicineME145308FLYes
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology2013-00003NC

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Phone 904-953-2000

Mailing address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Other practice locations

600 Moye Blvd
Ecu Physicians Pathology
Greenville, NC 27834-4300

Phone 252-744-2803 · Fax 252-744-3616

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