Active NPI
Daisy Deganuza MD LLC
- Prescribing (Medical) Psychologist
- Tampa, FL
National Provider Identifier
1053678847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- ME31036
- Legal business name
- DAISY DEGANUZA MD LLC
- Practice address
- 16554 N Dale Mabry Hwy
Tampa, FL 33618-1325 - Phone
- (813) 968-7188
- Fax
- (813) 968-7627
- NPI assigned
- Apr 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cindi Germond
- Title
- Admin Assistant
- Phone
- (813) 715-9802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | ME31036 | FL | Primary |
Addresses
Primary practice location
16554 N Dale Mabry Hwy
Tampa, FL 33618-1325
Mailing address
16554 N Dale Mabry Hwy
Tampa, FL 33618-1325
Phone (813) 968-7188
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335139200000",
"number": "1053678847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16554 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181325",
"telephone_number": "813-968-7188",
"fax_number": "813-968-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16554 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181325",
"telephone_number": "813-968-7188",
"fax_number": "813-968-7627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAISY DEGANUZA MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-23",
"status": "A",
"authorized_official_last_name": "GERMOND",
"authorized_official_first_name": "CINDI",
"authorized_official_title_or_position": "ADMIN ASSISTANT",
"authorized_official_telephone_number": "813-715-9802",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": "FL",
"license": "ME31036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.