Individual
KRISTEN S DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4243
(727) 767-8612
Mailing address
501 6TH AVE S, BOX 6941, ST PETERSBURG, FL 33701-4634
(727) 767-4429
(727) 767-4970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME103377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000455400
—
FL
01
—
04039
BC/BS OF FLORIDA
—
Enumeration date
02/09/2006
Last updated
03/03/2010
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