Provider Demographics
NPI:1932625589
Name:SHIPMAN, DARRYL LYNN JR (BA)
Entity Type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:LYNN
Last Name:SHIPMAN
Suffix:JR
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 SW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-3318
Mailing Address - Country:US
Mailing Address - Phone:754-242-1599
Mailing Address - Fax:
Practice Address - Street 1:277 SW 2ND ST
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-3318
Practice Address - Country:US
Practice Address - Phone:754-242-1599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other