Individual
DR. DANIELLE MARIE CIMORELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 455-9208
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY10183
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100882900
—
FL
01
—
KO231
MEDICARE
FL
01
—
MIZLC
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/01/2018
Last updated
10/19/2020
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