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NPI Code Detail

MEDICARE: DARLINE JEAN

MEDICARE:   DARLINE  JEAN
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
11041C0700XClinical Social WorkerISW12287FL
21041C0700XClinical Social WorkerSW17049FL

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 : 1992213185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLINE JEAN
Provider Business Mailing Address
First Line : 995 NW 119TH ST # 1613
Second Line :
City : MIAMI
State : FL
Zip : 33168-0298
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 995 NW 119TH ST # 1613
Second Line :
City : MIAMI
State : FL
Zip : 33168-0298
Country : US
Telephone Number : 561-325-9201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2018
Last Update Date : 10/21/2025

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Directions to “ DARLINE JEAN ” Practice Location

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