MEDICARE: DR. DARYANANI INC.

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
2	261QU0200X	Urgent Care Clinic/Center	ME 27341	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	:	1730368796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. DARYANANI INC.

Provider Business Mailing Address
First Line	:	14501 AMACA CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7155
Country	:	US
Telephone Number	:	407-856-4720
Fax Number	:

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

Authorized Official
Title or Position	:	MD
Name	:	LAXMICHAND DARYANANI
Credential	:
Telephone Number	:	407-465-1110

Provider Enumeration Date	:	10/26/2007
Last Update Date	:	12/19/2016

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Directions to “DR. DARYANANI INC. ” Practice Location

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