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NPI Code Detail

MEDICARE: DARREN PAYNE M.D.

MEDICARE: DARREN PAYNE 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
1207W00000XOphthalmology PhysicianME88113FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871505412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN PAYNE M.D.
Provider Business Mailing Address
First Line : 1600 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4644
Country : US
Telephone Number : 850-763-6666
Fax Number : 850-763-6665
Provider Business Practice Location Address
First Line : 1600 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4644
Country : US
Telephone Number : 850-763-6666
Fax Number : 850-763-6665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 01/04/2011

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Directions to “ DARREN PAYNE M.D.” Practice Location

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