Individual
DANIEL TIM CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6000 49TH ST N, ST PETERSBURG, FL 33709-2114
(727) 521-4411
Mailing address
6000 49TH ST N, ST PETERSBURG, FL 33709-2114
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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