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NPI Code Detail

MEDICARE: DARYON SHARIATI

MEDICARE: DARYON SHARIATI
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
1225100000XPhysical TherapistPT35124FL

Other Identifiers

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

General Provider Information

NPI Number : 1699324442
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARYON SHARIATI
Provider Business Mailing Address
First Line : 6526 SAN FRANCESCO WAY UNIT 2207
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-5849
Country : US
Telephone Number : 847-219-1656
Fax Number :
Provider Business Practice Location Address
First Line : 202 AVENUE O NE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-2409
Country : US
Telephone Number : 863-293-3103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2019
Last Update Date : 09/04/2019

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