Healthcare Provider Details

I. General information

NPI: 1154063436
Provider Name (Legal Business Name): KEREN DEBRA DARIUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E PRINCETON ST STE 200
ORLANDO FL
32804-5555
US

IV. Provider business mailing address

235 E PRINCETON ST STE 200
ORLANDO FL
32804-5555
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-1444
  • Fax: 407-303-1446
Mailing address:
  • Phone: 407-303-1444
  • Fax: 407-303-1446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME180451
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: