Provider Demographics
NPI:1023836194
Name:DHCK, LLC
Entity type:Organization
Organization Name:DHCK, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:DARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-286-9988
Mailing Address - Street 1:5995 S POINTE BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-3273
Mailing Address - Country:US
Mailing Address - Phone:239-286-9988
Mailing Address - Fax:239-737-2869
Practice Address - Street 1:5995 S POINTE BLVD STE 109
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-3273
Practice Address - Country:US
Practice Address - Phone:239-286-9988
Practice Address - Fax:239-737-2869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-28
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental