Gagner, Daniel Lawrence

Gagner, Daniel Lawrence is an sole proprietor health care provider with primary practice located at 7171 N Dale Mabry Hwy , Tampa FL 33614-2630. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gagner, Daniel Lawrence can be contacted via phone (813) 558-8070.

Contact Information

Primary practice address
7171 N Dale Mabry Hwy Tampa FL 33614-2630
Phone: (813) 558-8070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1560392 Florida

Profile Details

NPI number 1124023965
LBN Legal business name Gagner, Daniel Lawrence
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Jul 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124023965 NPPES
Florida MEDICAID 301717600

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