DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL ROGER HACK, PA-C

Active

DANIEL ROGER HACK, PA-C is a Physician Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1740610377 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1740610377
Provider Type
Individual
Gender
Male
NPI Issued
Nov 18, 2013 (12.747642033323 yrs)
Last Updated
Nov 22, 2023
Licenses
9115794 (FL)
017058 (NY)

Practice Information

Address
1301 PALM AVE
JACKSONVILLE, FL, 322078432
Browse FL providers · Browse ZIP 32207
Phone
9042027300
Fax
9042027433
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
MR. JASON KOTULA P.A. 1548263882
DANIEL A BECK PA-C 1780688465
JOHN MICHAEL TIERNEY PA 1124023445
KAREN ELAINE MAYES PA 1437154887
EDWIN HAUSER PA 1760487185
PETER J RIGGS PA 1255336574
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.