Provider Demographics
NPI:1679114375
Name:DARBY, ANGELO ANTHONY (HAS)
Entity Type:Individual
Prefix:MR
First Name:ANGELO
Middle Name:ANTHONY
Last Name:DARBY
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 SHOPPING CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34785-4533
Mailing Address - Country:US
Mailing Address - Phone:352-461-0219
Mailing Address - Fax:
Practice Address - Street 1:322 SHOPPING CENTER DR
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-4533
Practice Address - Country:US
Practice Address - Phone:352-461-0219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5280237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist