Provider Demographics
NPI:1821244302
Name:HOBBS, DARLA BRITTANY (PA)
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:BRITTANY
Last Name:HOBBS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12469 EMERALD COAST PKWY W
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-8305
Mailing Address - Country:US
Mailing Address - Phone:850-654-3376
Mailing Address - Fax:850-654-3320
Practice Address - Street 1:12469 EMERALD COAST PKWY W
Practice Address - Street 2:SUITE 101
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-8305
Practice Address - Country:US
Practice Address - Phone:850-654-3376
Practice Address - Fax:850-654-3320
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9104699363A00000X
ALPA627363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-25861OtherBLUE CROSS OF AL
AL137488Medicaid
AL137488Medicaid