Provider Demographics
NPI:1144281395
Name:DIGIULIO, DARRON D (DO)
Entity type:Individual
Prefix:
First Name:DARRON
Middle Name:D
Last Name:DIGIULIO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4161 NW 5TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2101
Mailing Address - Country:US
Mailing Address - Phone:954-642-2214
Mailing Address - Fax:954-327-7171
Practice Address - Street 1:4161 NW 5TH ST STE 202
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2101
Practice Address - Country:US
Practice Address - Phone:954-642-2214
Practice Address - Fax:954-327-7171
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7902207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272631900Medicaid
FL272631900Medicaid
FL35378XMedicare ID - Type Unspecified