Healthcare Provider Details

I. General information

NPI: 1164987186
Provider Name (Legal Business Name): DARIO ADRIAN SANABRIA NUNEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-6926
US

IV. Provider business mailing address

PO BOX 100275
GAINESVILLE FL
32610-0275
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-7906
  • Fax:
Mailing address:
  • Phone: 352-273-7839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME172902
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: