MEDICARE: DARIN LOCY LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN5232853	FL

General Provider Information

NPI Number	:	1013415330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIN LOCY LPN

Provider Business Mailing Address
First Line	:	10840 POPLAR ST NE
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33716-3308
Country	:	US
Telephone Number	:	330-701-7328
Fax Number	:

Provider Business Practice Location Address
First Line	:	10840 POPLAR ST NE
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33716-3308
Country	:	US
Telephone Number	:	330-701-7328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2018
Last Update Date	:	02/01/2018

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