Healthcare Provider Details

I. General information

NPI: 1215158969
Provider Name (Legal Business Name): ANTHONY N DARDANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20301 HACIENDA COURT
BOCA RATON FL
33498
US

IV. Provider business mailing address

20301 HACIENDA COURT
BOCA RATON FL
33498
US

V. Phone/Fax

Practice location:
  • Phone: 561-558-8608
  • Fax:
Mailing address:
  • Phone: 561-558-8608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License NumberME82515
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: