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Contact Information

DAISY DEGANUZA MD LLC
16554 N DALE MABRY HWY
TAMPA, FL33618-1325
 Phone: 813-968-7188
 Fax: 813-968-7627
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DAISY DEGANUZA MD LLC · (Female)

NPI Number 1053678847
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2012
Last updated 04/23/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME31036
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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