Provider Demographics
NPI:1790895878
Name:DARROW, MICHAEL JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:DARROW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 N TAMIAMI TR
Mailing Address - Street 2:STE 104
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4062
Mailing Address - Country:US
Mailing Address - Phone:239-263-1557
Mailing Address - Fax:239-263-4312
Practice Address - Street 1:3400 N TAMIAMI TR
Practice Address - Street 2:STE 104
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4062
Practice Address - Country:US
Practice Address - Phone:239-263-1557
Practice Address - Fax:239-263-4312
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70576Medicare ID - Type Unspecified
T55014Medicare UPIN