Provider Demographics
NPI:1902077217
Name:HOLLANDER, DARREN SCOTT (DC)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:SCOTT
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N MILLS AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-5378
Mailing Address - Country:US
Mailing Address - Phone:407-479-8359
Mailing Address - Fax:
Practice Address - Street 1:500 N MILLS AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5378
Practice Address - Country:US
Practice Address - Phone:407-479-8359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9479111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor