Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 149242 | NC |
N | 208600000X | Surgeon | 149242 | NC |
N | 208200000X | Surgeon | ME132861 | FL |
N | 208600000X | Surgeon | ME132861 | FL |
Y | 2086S0102X | Surgical Critical Care | ME132861 | FL |
NPI | 1194983676 |
---|---|
Provider Name | Dr. Marcus Darren Darrabie |
First Address | Orlando, FL 32804-4644 |
Second Address | Kissimmee, FL 34744-2316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 17/03/2018 |