Provider Demographics
NPI:1053512889
Name:EBER, DARYL J (MD)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:J
Last Name:EBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W 41ST ST
Mailing Address - Street 2:UNIT 201
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3637
Mailing Address - Country:US
Mailing Address - Phone:305-298-1685
Mailing Address - Fax:
Practice Address - Street 1:300 W 41ST ST
Practice Address - Street 2:UNIT 201
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3637
Practice Address - Country:US
Practice Address - Phone:305-298-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME1089072085R0202X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology