MEDICARE: DAYANA CAROLINA BERMUDEZ M.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	2085R0202X	Diagnostic Radiology Physician	ME145783	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679962070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYANA CAROLINA BERMUDEZ M.D.

Provider Business Mailing Address
First Line	:	19430 PADDOCK VIEW DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3741
Country	:	US
Telephone Number	:	727-359-9190
Fax Number	:

Provider Business Practice Location Address
First Line	:	38135 MARKET SQUARE DR STE 104
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-7505
Country	:	US
Telephone Number	:	813-780-2155
Fax Number	:

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

Provider Enumeration Date	:	01/22/2015
Last Update Date	:	06/25/2026

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