Healthcare Provider Details

I. General information

NPI: 1144673294
Provider Name (Legal Business Name): DAR MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6031 TOWN COLONY DR UNIT 113
BOCA RATON FL
33433-1949
US

IV. Provider business mailing address

6031 TOWN COLONY DR UNIT 113
BOCA RATON FL
33433-1949
US

V. Phone/Fax

Practice location:
  • Phone: 305-798-2426
  • Fax: 561-431-8291
Mailing address:
  • Phone: 305-798-2426
  • Fax: 561-431-8291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL RODRIGUEZ
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 305-798-2426