Provider Demographics
NPI:1942410105
Name:DANO, JUDY A (ARNP)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:A
Last Name:DANO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 GIRALDA BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3820
Mailing Address - Country:US
Mailing Address - Phone:727-894-3180
Mailing Address - Fax:
Practice Address - Street 1:5041 W CYPRESS ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-3851
Practice Address - Country:US
Practice Address - Phone:813-286-2520
Practice Address - Fax:813-286-2865
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 16262122081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 1626212OtherLICENSE