Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME133992 | FL |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME133992 | FL |
NPI | 1255367306 |
---|---|
Provider Name | Dr. Daniel L Dries |
First Address | Tampa, FL 33613-4696 |
Second Address | Tampa, FL 33613-4696 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 02/09/2021 |