Healthcare Provider Details

I. General information

NPI: 1659563823
Provider Name (Legal Business Name): PDARBY OF FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 LAKE LUCERNE WAY STE 303
BRANDON FL
33511-2293
US

IV. Provider business mailing address

PO BOX 3714
BRANDON FL
33509-3714
US

V. Phone/Fax

Practice location:
  • Phone: 813-514-7174
  • Fax: 813-661-0456
Mailing address:
  • Phone: 813-514-7174
  • Fax: 813-661-0456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateFL

VIII. Authorized Official

Name: MS. PATRICIA ANN DARBY
Title or Position: CEO/OWNER
Credential:
Phone: 813-514-7174