Provider Demographics
NPI:1467935940
Name:DANCEL, ALINA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:DANCEL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALINA
Other - Middle Name:
Other - Last Name:MARRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:12750 MARSH COVE DR S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-5611
Mailing Address - Country:US
Mailing Address - Phone:559-907-9172
Mailing Address - Fax:
Practice Address - Street 1:5401 W KENNEDY BLVD STE 100
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2457
Practice Address - Country:US
Practice Address - Phone:559-907-9172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293384225100000X
FL37760225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist