Individual
DAIHLA PERARD BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 HEALING WAY STE 100, WESLEY CHAPEL, FL 33543-5453
(813) 994-0611
(813) 994-0085
Mailing address
2700 HEALING WAY STE 100, WESLEY CHAPEL, FL 33543-5453
(813) 994-0611
(813) 994-0085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME137584
FL
Other
Enumeration date
04/03/2015
Last updated
12/16/2020
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