Provider Demographics
NPI:1942996558
Name:MARSDEN, DANIEL JOHN FRANCIS (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOHN FRANCIS
Last Name:MARSDEN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 3RD AVE W UNIT 2302
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8730
Mailing Address - Country:US
Mailing Address - Phone:269-303-2186
Mailing Address - Fax:
Practice Address - Street 1:920 CYPRESS VILLAGE BLVD
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33573-6828
Practice Address - Country:US
Practice Address - Phone:813-670-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9117674208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine