Healthcare Provider Details

I. General information

NPI: 1437245818
Provider Name (Legal Business Name): DANIEL BARRON IDHS, NREMT-B
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13520 AEROSPACE WAY, CECIL FIELD, HANGER 13
JACKSONVILLE FL
32221
US

IV. Provider business mailing address

13520 AEROSPACE WAY, CECIL FIELD, HANGER 13
JACKSONVILLE FL
32221
US

V. Phone/Fax

Practice location:
  • Phone: 904-594-6865
  • Fax:
Mailing address:
  • Phone: 904-594-6865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: