Individual
DARRYL B BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP-C
Contact information
Practice address
6633 FOREST AVE, SUITE 300, NEW PORT RICHEY, FL 34653-2612
(727) 483-1323
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 483-1323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9232011
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9232011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016152100
—
FL
Enumeration date
08/08/2014
Last updated
07/01/2024
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