Individual
DR. DAREN DIANAN SUBNAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16281 BASS RD STE 300, FORT MYERS, FL 33908
(239) 343-7110
(239) 343-5255
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7110
(239) 343-5255
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS14553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102557000
—
FL
Enumeration date
03/25/2012
Last updated
03/30/2021
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