Individual
DR. DANUTA FABISIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2110 58TH ST W, BRADENTON, FL 34209-5660
(941) 795-7222
(941) 795-7335
Mailing address
2110 58TH ST W, BRADENTON, FL 34209-5660
(941) 795-7222
(941) 795-7335
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8474
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261730700
—
FL
Enumeration date
10/11/2005
Last updated
12/06/2019
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