Provider Demographics
NPI:1851603229
Name:UEBELHART, DANIELA (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:
Last Name:UEBELHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DANIELA
Other - Middle Name:UEBELHART
Other - Last Name:BRESSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:630 PASADENA AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-2128
Mailing Address - Country:US
Mailing Address - Phone:727-360-1784
Mailing Address - Fax:727-360-1823
Practice Address - Street 1:630 PASADENA AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-2128
Practice Address - Country:US
Practice Address - Phone:727-360-1784
Practice Address - Fax:727-360-1823
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116579207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01330415OtherRAILROAD MEDICARE PROVIDER NUMBER
FL010361200Medicaid
FLHQ866YMedicare PIN