Provider Demographics
NPI:1194885897
Name:SCARAFILE, DARREN BRADFORD
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:BRADFORD
Last Name:SCARAFILE
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:DARREN
Other - Middle Name:BRADFORD
Other - Last Name:SCARAFILE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:8430 ENTERPRISE CIR STE 120
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4111
Mailing Address - Country:US
Mailing Address - Phone:941-907-9663
Mailing Address - Fax:941-907-6663
Practice Address - Street 1:8430 ENTERPRISE CIR STE 120
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-4111
Practice Address - Country:US
Practice Address - Phone:941-907-9663
Practice Address - Fax:941-907-6663
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010753-1111N00000X
FLCH14544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU97926Medicare UPIN