Provider Demographics
NPI:1215434592
Name:DENNIS DARIO MD LLC
Entity type:Organization
Organization Name:DENNIS DARIO MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DARIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-401-7691
Mailing Address - Street 1:3633 LITTLE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1815
Mailing Address - Country:US
Mailing Address - Phone:727-261-7009
Mailing Address - Fax:727-261-7010
Practice Address - Street 1:3633 LITTLE RD STE 104
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1815
Practice Address - Country:US
Practice Address - Phone:727-261-7009
Practice Address - Fax:727-261-7010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty