Individual
DR. DANIEL LAURENCE PANEBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
(863) 284-1730
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 630-6528
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME156234
FL
390200000X
Student in an Organized Health Care Education/Training Program
238481
NC
Other
Enumeration date
05/02/2018
Last updated
07/08/2022
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