| Doctor Name: | DR. DANIEL PHILIP |
| NPI Number: | 1003137530 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PY7544 |
| Business Practice Address: | 10000 Bay Pines Blvd Satp Bay Pines, FL - 337448200 |
| Business Phone Number: | 7273986661 |
| Business Fax Number: | |
| Mailing Address: | 10000 Bay Pines Blvd, Satp BAY PINES |
| State: | FL |
| Postal Code: | 337448200 |
| Phone Number: | 7273986661 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2010 |
| NPI Last Update Date: | 11/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PY7544 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |