NPI Code Detail JSON Logo

1619292281 NPI number — DARCIE J FREDDOLINO

NPI Number: 1619292281
Health Care Provider/Practitioner: DARCIE J FREDDOLINO

Information about “1619292281” NPI (DARCIE J FREDDOLINO) exists in 1619292281 in HTML format HTML  |  1619292281 in plain Text format TXT  |  1619292281 in PDF (Portable Document Format) PDF  |  1619292281 in an XML format XML  formats.

NPI Number : 1619292281 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619292281",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FREDDOLINO",
    "FirstName": "DARCIE",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11906 GRANITE WOODS LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VENICE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34292-4135",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-493-2975",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3107 NE 40TH CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT LAUDERDALE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33308-6413",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-454-2345",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/07/2010",
    "LastUpdateDate": "04/07/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "OT 13628",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.