Individual
DANIEL R DZIADOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7431
(727) 553-7432
Mailing address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7431
(727) 553-7432
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
302025
NY
207XX0801X
Orthopaedic Trauma Physician
302025
NY
207XX0801X
Orthopaedic Trauma Physician
Primary
ME103748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162720A
—
GA
05
—
018363000
—
FL
01
—
1186918
CIGNA
FL
01
—
14515
BCBS
FL
01
—
328012
AVMED
FL
01
—
9262296
AETNA
FL
Enumeration date
02/18/2009
Last updated
07/01/2024
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