Healthcare Provider Details

I. General information

NPI: 1821244302
Provider Name (Legal Business Name): DARLA BRITTANY HOBBS P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12469 EMERALD COAST PKWY W SUITE 101
MIRAMAR BEACH FL
32550-8305
US

IV. Provider business mailing address

12469 EMERALD COAST PKWY W SUITE 101
MIRAMAR BEACH FL
32550-8305
US

V. Phone/Fax

Practice location:
  • Phone: 850-654-3376
  • Fax: 850-654-3320
Mailing address:
  • Phone: 850-654-3376
  • Fax: 850-654-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9104699
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA627
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: