Provider Demographics
NPI:1790809309
Name:DALCANTO, FLORENCE C (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:C
Last Name:DALCANTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1225 FORT UNION BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-1889
Mailing Address - Country:US
Mailing Address - Phone:801-233-4400
Mailing Address - Fax:801-233-4410
Practice Address - Street 1:1225 FORT UNION BLVD
Practice Address - Street 2:STE 200
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-1889
Practice Address - Country:US
Practice Address - Phone:801-233-4400
Practice Address - Fax:801-233-4410
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT6857647-8905208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics