Most Relevant Information
Provider Data
| NPI Number: | 1003817115 |
| Provider Name: | JAMES DANIEL TALLEY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | MD17106 |
Most Important Dates
| Enumeration Date: | 08/10/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5201 RAYMOND ST
ORLANDO
FL
328038208
Practice Location Phone/Fax
| Phone: | 4076291599 |
| Fax: |
Provider Mailing Location
753 SYBILWOOD CIR
WINTER SPRINGS
FL
327083734
Provider Mailing Phone/Fax
| Phone: | 4076967130 |
| Fax: |