Individual
DR. DANIELA ROMERO CROUSILLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME148687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110590300
—
FL
01
—
8RRZY
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/06/2013
Last updated
02/08/2022
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