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

Jacori Kantrell Daniels

Individual provider Family Medicine Physician · NPI 1215791645

Jacori Kantrell Daniels is a Family Medicine Physician in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

201 N Clyde Morris Blvd Ste 200
Daytona Beach, FL 32114-2765
Phone: (386) 425-4165
Fax: (386) 425-7545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence TRN45396 (FL)

Record details

NPI number1215791645
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 7, 2024
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765

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