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Individual

DR. DANIEL M CONRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4423 PARK BLVD N, PINELLAS PARK, FL 33781-3540
(727) 827-2825
(727) 827-2809
Mailing address
4423 PARK BLVD N, PINELLAS PARK, FL 33781-3540
(727) 827-2825
(727) 827-2809

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0024802
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52941
BCBS
01
52941X
TRICARE
Enumeration date
08/24/2005
Last updated
04/28/2015
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