Individual
DR. PAUL D DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 5TH ST S, DEPARTMENT 70-6600 3RD FLOOR, ST PETERSBURG, FL 33701
(727) 767-4170
(727) 767-4346
Mailing address
601 5TH ST S, DEPARTMENT 70-6600 3RD FLOOR, ST PETERSBURG, FL 33701
(727) 767-4170
(727) 767-4346
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
ME102019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000814 00
—
FL
05
—
0140881
—
MA
Enumeration date
11/20/2005
Last updated
10/07/2010
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