Individual
MR. DANIEL LAWRENCE GAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2630
(813) 558-8070
Mailing address
7470 NORMANDY CT, SEMINOLE, FL 33772-4919
(727) 393-1468
(727) 319-0339
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1560392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301717600
—
FL
Enumeration date
06/17/2005
Last updated
07/05/2016
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