Provider Demographics
NPI:1952185134
Name:CHRYSANTHOS DARIOS APRN
Entity Type:Organization
Organization Name:CHRYSANTHOS DARIOS APRN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRYSANTHOS
Authorized Official - Middle Name:
Authorized Official - Last Name:DARIOS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:727-967-7851
Mailing Address - Street 1:6118 CANOPY OAKS CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-3970
Mailing Address - Country:US
Mailing Address - Phone:727-967-7851
Mailing Address - Fax:815-614-3369
Practice Address - Street 1:6121 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-3215
Practice Address - Country:US
Practice Address - Phone:727-967-7851
Practice Address - Fax:815-614-3369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Single Specialty