Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME69878 | FL |
Y | 208600000X | Surgeon | ME69878 | FL |
NPI | 1013074459 |
---|---|
Provider Name | Daniel Diaco |
First Address | Tampa, FL 33614 |
Second Address | Tampa, FL 33614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 08/07/2007 |