Joseph, Darryl Glen
Joseph, Darryl Glen is an sole proprietor health care provider with primary practice located at 844 S Federal Hwy , Deerfield Beach FL 33441-5752. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Joseph, Darryl Glen can be contacted via phone (561) 614-8267.Contact Information
Primary practice address
844 S Federal Hwy
Deerfield Beach FL 33441-5752
Phone: (561) 614-8267
Fax: (954) 421-7278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3971 | Florida |
Profile Details
| NPI number | 1033488085 |
|---|---|
| LBN Legal business name | Joseph, Darryl Glen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2011 |
| Last updated | Sep 17th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033488085 | NPPES |
| Florida | MEDICAID | 016692700 |
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