Individual
DR. DANIEL JAY PODBERESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 567-4000
(407) 567-5924
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
C10011071
DE
2085P0229X
Pediatric Radiology Physician
L9429
TX
2085P0229X
Pediatric Radiology Physician
Primary
ME120711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ME120711
—
FL
Enumeration date
01/06/2006
Last updated
09/15/2020
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