Individual
DARREN KENDRICK ADDERLY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12901 BRUCE B DOWNS BLVD # 41, TAMPA, FL 33612-4742
(813) 259-8725
Mailing address
12901 BRUCE B DOWNS BLVD # 41, TAMPA, FL 33612-4742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54818
TN
208M00000X
Hospitalist Physician
54818
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2012
Last updated
05/26/2021
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