Provider Demographics
NPI:1437362878
Name:DANTON, JACALYN ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:JACALYN
Middle Name:ANN
Last Name:DANTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7945 PALACIO DEL MAR DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4149
Mailing Address - Country:US
Mailing Address - Phone:561-368-0242
Mailing Address - Fax:561-368-2264
Practice Address - Street 1:1800 N FEDERAL HWY
Practice Address - Street 2:SUITE 105
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1034
Practice Address - Country:US
Practice Address - Phone:561-368-0242
Practice Address - Fax:561-368-2264
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS6841207N00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology