Provider Demographics
NPI:1457479339
Name:HARDOON, DARINKA MILOSLAVA
Entity Type:Individual
Prefix:
First Name:DARINKA
Middle Name:MILOSLAVA
Last Name:HARDOON
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 1:7309 GLADWIN CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-3719
Mailing Address - Country:US
Mailing Address - Phone:407-709-1611
Mailing Address - Fax:
Practice Address - Street 1:7309 GLADWIN CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32836-3719
Practice Address - Country:US
Practice Address - Phone:407-709-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA-8225235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL892493700Medicaid