Provider Demographics
NPI:1639224116
Name:DARNELL, DONNA (AP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:DARNELL
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1231 SE 1ST ST APT 7
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3926
Mailing Address - Country:US
Mailing Address - Phone:954-895-7478
Mailing Address - Fax:954-523-6020
Practice Address - Street 1:2699 STIRLING RD STE C403D
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6564
Practice Address - Country:US
Practice Address - Phone:954-895-7478
Practice Address - Fax:954-523-6020
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAP679171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist