Provider Demographics
NPI:1164494852
Name:BEJANY, DARWICH E (MD)
Entity Type:Individual
Prefix:
First Name:DARWICH
Middle Name:E
Last Name:BEJANY
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 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:3659 S MIAMI AVE STE 2001
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4254
Practice Address - Country:US
Practice Address - Phone:305-324-7444
Practice Address - Fax:305-324-9224
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 41412208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004308OtherNHP
FL96734OtherBCBS
FLP971568OtherOPTIMUM
FL0230593OtherCIGNA
FL041883800Medicaid
FL222262OtherAVMED
FL4809OtherDIMENSION
FLP1035802OtherFREEDOM
FL2423290OtherAETNA
FL4467792OtherAETNA
FL96734OtherBLUE CROSS BLUE SHIELD
FLP01652197OtherRR MEDICARE
FLP01715294OtherSIMPLY
FL22390OtherWELLCARE
FL041883800Medicaid
FL2423290OtherAETNA
FLP971568OtherOPTIMUM
FL96734YMedicare PIN