Healthcare Provider Details

I. General information

NPI: 1558296061
Provider Name (Legal Business Name): DERRICK BANYARD JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4027 MEANDER PL UNIT 102
ROCKLEDGE FL
32955-5271
US

IV. Provider business mailing address

4027 MEANDER PL UNIT 102
ROCKLEDGE FL
32955-5271
US

V. Phone/Fax

Practice location:
  • Phone: 501-920-5531
  • Fax:
Mailing address:
  • Phone: 501-920-5531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: