Individual
DARYL BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
901 DOUGLAS AVE STE 205, ALTAMONTE SPRINGS, FL 32714-2057
(407) 703-5959
Mailing address
901 DOUGLAS AVENUE SUITE 205, ALTAMONTE SPRINGS, FL 32871
(407) 703-5959
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003019000
—
FL
05
—
003564600
—
FL
Enumeration date
07/17/2012
Last updated
07/17/2012
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