Individual
DR. JEFFREY P DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 631-7128
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 631-7128
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS11777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005928400
—
FL
01
—
14KW8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/21/2008
Last updated
03/19/2020
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