Hartley, Daryl Keith

Hartley, Daryl Keith is an sole proprietor health care provider with primary practice located at 699 W Cocoa Beach Cswy Ste 503 , Cocoa Beach FL 32931-3562. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Hartley, Daryl Keith can be contacted via phone (321) 434-6650.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Ste 503 Cocoa Beach FL 32931-3562
Phone: (321) 434-6650
Fax: (321) 434-5864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116370 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9116370 Florida

Profile Details

NPI number 1578873535
LBN Legal business name Hartley, Daryl Keith
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2010
Last updated May 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578873535 NPPES
Florida Other Q7657 MEDICARE HF
Florida MEDICAID 118743900 MEDICARE HF

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