MEDICARE: DANIELLE M SACCHINELLI AU.D.

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	231H00000X	Audiologist	AY2208	FL

General Provider Information

NPI Number	:	1215415054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE M SACCHINELLI AU.D.

Provider Business Mailing Address
First Line	:	508 S HABANA AVE STE 170
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4190
Country	:	US
Telephone Number	:	813-877-3100
Fax Number	:	813-877-3800

Provider Business Practice Location Address
First Line	:	508 S HABANA AVE STE 170
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4190
Country	:	US
Telephone Number	:	813-877-3100
Fax Number	:	813-877-3800

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

Provider Enumeration Date	:	08/03/2018
Last Update Date	:	02/19/2020

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