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Contact Information

DEDRIX B DAKA, OD
122 N BREVARD AVE
ARCADIA, FL34266-4404
 Phone: 863-491-7585
 Fax: 863-491-7588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for DEDRIX B DAKA · (Male)

NPI Number 1316202401
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/05/2012
Last updated 03/27/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OPC4785
  • VA License # 0618002165
  • FL Medicaid 013849400
  • FL Other H04587 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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