Individual
DANIEL JOSE PLASENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701
(727) 456-4250
(727) 346-1044
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME34158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038727400
—
FL
01
—
15633Z
MEDICARE PTAN
FL
Enumeration date
06/23/2006
Last updated
12/07/2018
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