Provider Demographics
NPI:1538772959
Name:SERAPHIN, DARREN KAREEM
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:KAREEM
Last Name:SERAPHIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3604 BLANDING BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-5241
Mailing Address - Country:US
Mailing Address - Phone:904-778-8821
Mailing Address - Fax:904-778-9053
Practice Address - Street 1:3604 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-5241
Practice Address - Country:US
Practice Address - Phone:904-778-8821
Practice Address - Fax:904-778-9053
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57593183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist