Provider Demographics
NPI:1437634144
Name:COWGILL, DAYMI (MD)
Entity Type:Individual
Prefix:
First Name:DAYMI
Middle Name:
Last Name:COWGILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DAYMI
Other - Middle Name:
Other - Last Name:PUIG HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2835 LAKE MICHAELA BLVD
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-7955
Mailing Address - Country:US
Mailing Address - Phone:904-755-8655
Mailing Address - Fax:
Practice Address - Street 1:1509 W REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4733
Practice Address - Country:US
Practice Address - Phone:813-704-6905
Practice Address - Fax:813-704-5998
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21114208D00000X
FLACN1108208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice