MEDICARE: DR. LAXMICHAND DARYANANI M.D.

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	207Q00000X	Family Medicine Physician	ME27341	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649263401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAXMICHAND DARYANANI M.D.

Provider Business Mailing Address
First Line	:	14501 AMACA COURT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837
Country	:	US
Telephone Number	:	407-856-4720
Fax Number	:

Provider Business Practice Location Address
First Line	:	8216 WORLD CENTER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32821-5412
Country	:	US
Telephone Number	:	407-465-1110
Fax Number	:	407-465-1222

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

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	10/29/2007

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