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Organization

DANIEL P GREENWALD MD PA

Active
Other names
BAYSHORE PLASTIC SURGERY
Organization subpart
No

Provider details

NPI number
Authorized official
CELESTE STRANAHAN (OFFICE MANAGER)
(813) 258-2425
Entity
Organization

Contact information

Practice address
1208 E KENNEDY BLVD, SUITE 221, TAMPA, FL 33602-3504
(813) 258-2425
(813) 258-1275
Mailing address
PO BOX 3296, TAMPA, FL 33601-3296
(813) 258-2425
(813) 258-1275

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45530
BLUE CROSS & BLUE SHIELD
Enumeration date
03/09/2007
Last updated
08/04/2008
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