Individual
JOHN RYAN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-0483
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-0483
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OS21047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122946900
—
FL
01
—
4ZAQO
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/26/2021
Last updated
08/25/2024
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