Provider Demographics
NPI:1326129032
Name:MARSH, DARREN E (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DARREN
Middle Name:E
Last Name:MARSH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-3546
Mailing Address - Country:US
Mailing Address - Phone:407-616-0906
Mailing Address - Fax:
Practice Address - Street 1:SOUTH LAKE FAMILY HEALTH CENTER
Practice Address - Street 2:1296 W BROAD STREET
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-2012
Practice Address - Country:US
Practice Address - Phone:352-429-4104
Practice Address - Fax:352-429-5606
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34314183500000X
VA0202204503183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS34314OtherRPH LICENSE #
VA0202204503OtherRPH LICENSE #