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Darioly Tavarez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

58 W Michigan St, Orlando, FL 32806-4453

PECOS Enrollment

Based on the most recent information from CMS, provider Darioly Tavarez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1780397893
Provider Type
Individual
Full Name
Tavarez, Darioly
Gender
Female

Sole Proprietor
No
Enumeration Date
1/4/2023
Last Updated
1/4/2023

Contact Information

Practice Location

58 W Michigan St, Orlando, FL 32806-4453

(407) 650-9220

(407) 650-9110

Mailing Location

9229 Leeland Archer Blvd, Orlando, FL 32836-8839

(603) 943-4171

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11023781 Florida

Darioly Tavarez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Collet, Jennifer

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