Individual
DANIEL SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9330 SR-54 EAST, TRINITY, FL 34655
(727) 834-4000
Mailing address
9330 SR-54 EAST, TRINITY, FL 34655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TRN35009
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN35009
FL
Other
Enumeration date
04/14/2022
Last updated
08/16/2022
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