Individual
DR. DAISSY CAROLINA MCENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606
(813) 396-2515
(813) 905-9896
Mailing address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 250-2506
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
07/17/2018
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