Healthcare Provider Details

I. General information

NPI: 1427512722
Provider Name (Legal Business Name): DANIEL KORYA MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2454 N MCMULLEN BOOTH RD STE 606
CLEARWATER FL
33759-1345
US

IV. Provider business mailing address

2454 N MCMULLEN BOOTH RD STE 606
CLEARWATER FL
33759-1345
US

V. Phone/Fax

Practice location:
  • Phone: 551-277-4441
  • Fax: 201-392-3564
Mailing address:
  • Phone: 551-277-4441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANI KORYA
Title or Position: OWNER
Credential:
Phone: 551-277-4441