Individual
DR. DARRYL GLEN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
844 S FEDERAL HWY, DEERFIELD BEACH, FL 33441-5752
(561) 614-8267
(954) 421-7278
Mailing address
21533 HALSTEAD DR, BOCA RATON, FL 33428-4844
(561) 451-9914
(561) 451-9914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016692700
—
FL
Enumeration date
12/20/2011
Last updated
09/17/2020
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