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NPI Code Detail

MEDICARE: DARIAN BYRD

MEDICARE: DARIAN BYRD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TR0400XRehabilitation Psychologist

General Provider Information

NPI Number : 1912365602
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIAN BYRD
Provider Business Mailing Address
First Line : 5758 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-4818
Country : US
Telephone Number : 407-644-4367
Fax Number : 407-622-1200
Provider Business Practice Location Address
First Line : 5758 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-4818
Country : US
Telephone Number : 407-644-4367
Fax Number : 407-622-1200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2016
Last Update Date : 02/09/2016

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