Provider Demographics
NPI:1699914986
Name:DR DARNITA A HILL DO PA
Entity type:Organization
Organization Name:DR DARNITA A HILL DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DARNITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-579-6346
Mailing Address - Street 1:9088 CHAMBERS ST
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4136
Mailing Address - Country:US
Mailing Address - Phone:954-579-6346
Mailing Address - Fax:954-721-6186
Practice Address - Street 1:9088 CHAMBERS ST
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4136
Practice Address - Country:US
Practice Address - Phone:954-579-6346
Practice Address - Fax:954-721-6186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS-830-7207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2699150-00Medicaid
FL2699150-00Medicaid