MEDICARE: PHILLIP M DASCHER MD

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	208600000X	Surgery Physician	ME32089	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00311613	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	59256	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760439525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP M DASCHER MD

Provider Business Mailing Address
First Line	:	36211 DASCHER LN
Second Line	:
City	:	GRAND ISLAND
State	:	FL
Zip	:	32735-9614
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	36211 DASCHER LN
Second Line	:
City	:	GRAND ISLAND
State	:	FL
Zip	:	32735-9614
Country	:	US
Telephone Number	:	352-636-4768
Fax Number	:

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	11/22/2024

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