Provider Demographics
NPI:1659563823
Name:PDARBY OF FLORIDA INC
Entity Type:Organization
Organization Name:PDARBY OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-514-7174
Mailing Address - Street 1:PO BOX 3714
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509-3714
Mailing Address - Country:US
Mailing Address - Phone:813-514-7174
Mailing Address - Fax:813-661-0456
Practice Address - Street 1:1306 LAKE LUCERNE WAY
Practice Address - Street 2:STE 303
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-2293
Practice Address - Country:US
Practice Address - Phone:813-514-7174
Practice Address - Fax:813-661-0456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X, 332BD1200X, 332BN1400X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies