| Daisy Deganuza Md Llc | |
|
16554 N Dale Mabry Hwy Tampa FL 33618-1325 | |
| (813) 968-7188 | |
| (813) 968-7627 |
| Full Name | Daisy Deganuza Md Llc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 16554 N Dale Mabry Hwy, Tampa, Florida |
| Authorized Official Name and Position | Cindi Germond (ADMIN ASSISTANT) |
| Authorized Official Contact | 8137159802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daisy Deganuza Md Llc 16554 N Dale Mabry Hwy Tampa FL 33618-1325 Ph: (813) 968-7188 | Daisy Deganuza Md Llc 16554 N Dale Mabry Hwy Tampa FL 33618-1325 Ph: (813) 968-7188 |
| NPI Number | 1053678847 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053678847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | ME31036 (Florida) | Primary |
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