Provider Demographics
NPI:1972598308
Name:DARLINGTON, JASON K (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:K
Last Name:DARLINGTON
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 1:1995 W. NASA BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904
Mailing Address - Country:US
Mailing Address - Phone:321-722-4443
Mailing Address - Fax:321-722-2334
Practice Address - Street 1:1995 W. NASA BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904
Practice Address - Country:US
Practice Address - Phone:321-722-4443
Practice Address - Fax:321-722-2334
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME122396207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1972598308OtherNPI
125827Medicare UPIN
FL1A468ZMedicare PIN