Organization
DARREN PAYNE, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN PAYNE M.D. (MEMBER)
(850) 240-2205
Entity
Organization
Contact information
Practice address
3402 N LECANTO HWY, BEVERLY HILLS, FL 34465-3570
(850) 240-2205
Mailing address
PO BOX 641538, BEVERLY HILLS, FL 34464-1538
(850) 240-2205
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME88113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268988000
—
FL
Enumeration date
02/25/2016
Last updated
02/25/2016
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