Dziadosz, Daniel R
Dziadosz, Daniel R is an individual health care provider with primary practice located at 603 7Th St S Ste 100 , St Petersburg FL 33701-4719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Dziadosz, Daniel R can be contacted via phone (727) 553-7431.Contact Information
Primary practice address
603 7Th St S Ste 100
St Petersburg FL 33701-4719
Phone: (727) 553-7431
Fax: (727) 553-7432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 302025 | New York |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 302025 | New York |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | ME103748 | Florida |
Profile Details
| NPI number | 1609015452 |
|---|---|
| LBN Legal business name | Dziadosz, Daniel R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2009 |
| Last updated | Jul 1st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609015452 | NPPES |
| Florida | Other | 328012 | AVMED |
| Florida | MEDICAID | 003162720A | AVMED |
| Florida | MEDICAID | 018363000 | AVMED |
| Florida | Other | 1186918 | AVMED |
| Florida | Other | 14515 | AVMED |
| Florida | Other | 9262296 | AVMED |
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