Organization
DAISY DEGANUZA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDI GERMOND (ADMIN ASSISTANT)
(813) 715-9802
Entity
Organization
Contact information
Practice address
16554 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 968-7188
(813) 968-7627
Mailing address
16554 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 968-7188
(813) 968-7627
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
ME31036
FL
Other
Enumeration date
04/18/2012
Last updated
04/23/2012
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