Provider Demographics
NPI:1538518824
Name:CANNADY, DARRYL F II (MD)
Entity type:Individual
Prefix:
First Name:DARRYL
Middle Name:F
Last Name:CANNADY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DARRYL
Other - Middle Name:FOUNTANE PETTY
Other - Last Name:CANNADY
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1050 SE MONTEREY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4512
Mailing Address - Country:US
Mailing Address - Phone:772-288-2400
Mailing Address - Fax:
Practice Address - Street 1:9401 SW DISCOVERY WAY STE 201
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34987-2381
Practice Address - Country:US
Practice Address - Phone:772-288-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA170939207X00000X
FLTRN23489207X00000X
FLME157348207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery