Provider Demographics
NPI:1376910943
Name:TURNER, DARA
Entity Type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 RIVER BIRCH CT
Mailing Address - Street 2:APT. 834
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-5166
Mailing Address - Country:US
Mailing Address - Phone:352-433-5551
Mailing Address - Fax:
Practice Address - Street 1:600 RIVER BIRCH CT
Practice Address - Street 2:APT. 834
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5166
Practice Address - Country:US
Practice Address - Phone:352-433-5551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-30
Last Update Date:2015-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL168-15174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator