Provider Demographics
NPI:1619245362
Name:DAYCLINIC INC.
Entity Type:Organization
Organization Name:DAYCLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AYOKUNLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FATADE
Authorized Official - Suffix:
Authorized Official - Credentials:DO,
Authorized Official - Phone:276-252-7007
Mailing Address - Street 1:1001 SW 2ND AVE
Mailing Address - Street 2:SUITE 8000
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7245
Mailing Address - Country:US
Mailing Address - Phone:276-252-7007
Mailing Address - Fax:
Practice Address - Street 1:1001 SW 2ND AVE
Practice Address - Street 2:SUITE 8000
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7245
Practice Address - Country:US
Practice Address - Phone:954-483-6216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care