MEDICARE: DANIELLA PHILIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		FL

General Provider Information

NPI Number	:	1598602435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLA PHILIP

Provider Business Mailing Address
First Line	:	11223 58TH STREET CIR E
Second Line	:
City	:	PARRISH
State	:	FL
Zip	:	34219-4519
Country	:	US
Telephone Number	:	727-307-0230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1946 W MAIN ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-4322
Country	:	US
Telephone Number	:	813-450-1005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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Directions to “ DANIELLA PHILIP ” Practice Location

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