Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dedrick Michelle Daniels, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1730402975

Dedrick Michelle Daniels, DPM is a Foot & Ankle Surgery Podiatrist in Jacksonville, Florida. Works from 3 locations. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

120 King St
Jacksonville, FL 32204-2410
Phone: (904) 760-4904
Fax: (904) 930-4607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5460 Blanding Blvd, Jacksonville, FL 32244-1957 — (904) 760-4904
  • 2251 W Elm St, Wrightsville, GA 31096-2017 — (478) 864-2600

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3691 (FL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence POD001172 (GA)

Record details

NPI number1730402975
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 2, 2010
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

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