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DAISY DEGANUZA MD LLC NPI 1053678847


NPI Information

NPI: 1053678847
Provider Name: DAISY DEGANUZA MD LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
16554 N DALE MABRY HWY
TAMPA, FL
ZIP 33618
Phone: (813) 968-7188
Get Directions

DAISY DEGANUZA MD LLC is a prescribing (medical) psychologist in Tampa, FL. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. DAISY DEGANUZA MD LLC NPI is 1053678847. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16554 N DALE MABRY HWY
TAMPA, FL
ZIP 33618-325
Phone: (813) 968-7188
Fax: (813) 968-7627

The provider's authorized official is Cindi Germond .
The authorized official title is Admin Assistant and has the following contact phone number (813) 715-9802.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 4/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)ME31036FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130091MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.