Healthcare Provider Details

I. General information

NPI: 1679962070
Provider Name (Legal Business Name): DAYANA CAROLINA BERMUDEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38135 MARKET SQUARE DR STE 104
ZEPHYRHILLS FL
33542-7505
US

IV. Provider business mailing address

19430 PADDOCK VIEW DR
TAMPA FL
33647-3741
US

V. Phone/Fax

Practice location:
  • Phone: 813-780-2155
  • Fax:
Mailing address:
  • Phone: 727-359-9190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME145783
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: