Provider Demographics
NPI:1699944017
Name:OSBAHR, DARYL CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:DARYL
Middle Name:CHRISTOPHER
Last Name:OSBAHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 CHESTNUT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4430
Mailing Address - Country:US
Mailing Address - Phone:609-677-7003
Mailing Address - Fax:267-339-3761
Practice Address - Street 1:255 N LAKEMONT AVE STE 207
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3219
Practice Address - Country:US
Practice Address - Phone:407-852-5333
Practice Address - Fax:407-743-3050
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0072488207XX0005X
NY241021207XX0005X
AL30131207XX0005X
FLME117956207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME117956OtherMEDICAL LICENSE
FLME117956OtherMEDICAL LICENSE
FLME117956OtherMEDICAL LICENSE