Individual
DANIELLE N FASCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(205) 934-4060
Mailing address
6671 13TH AVE N STE 1B, ST PETERSBURG, FL 33710-5411
(727) 328-7800
(727) 328-9555
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OS18947
FL
Other
Enumeration date
04/22/2016
Last updated
07/21/2022
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