Provider Demographics
NPI:1144673294
Name:DAR MEDICAL GROUP LLC
Entity type:Organization
Organization Name:DAR MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-798-2426
Mailing Address - Street 1:6031 TOWN COLONY DR
Mailing Address - Street 2:UNIT 113
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1949
Mailing Address - Country:US
Mailing Address - Phone:305-798-2426
Mailing Address - Fax:561-431-8291
Practice Address - Street 1:6031 TOWN COLONY DR
Practice Address - Street 2:UNIT 113
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1949
Practice Address - Country:US
Practice Address - Phone:305-798-2426
Practice Address - Fax:561-431-8291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty