Individual
DR. DARSHANAND PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15323 AMBERLY DR, TAMPA, FL 33647-2144
(813) 910-3333
(813) 910-3323
Mailing address
15323 AMBERLY DR, TAMPA, FL 33647-2144
(813) 910-3333
(813) 910-3323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1583145
UNITED CONCORDIA
FL
01
—
183772
COMPBENEFITS
FL
01
—
86505
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/16/2007
Last updated
07/08/2007
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