Individual provider · NPI-1

Darren Kendrick Adderly II, M.D.

Internal Medicine · Tampa, FL

NPI number1386904522

StatusActive

Last updated in NPPESMay 26, 2021

Details

NPI: 1386904522
Entity type: Individual (NPI-1)
Name: Darren Kendrick Adderly II
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: May 22, 2012
Certification date: May 26, 2021
Last updated: May 26, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	54818	TN	Yes
208M00000X	Hospitalist	54818	TN
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

12901 Bruce B Downs Blvd # 41
Tampa, FL 33612-4742

Phone 813-259-8725

Mailing address

12901 Bruce B Downs Blvd # 41
Tampa, FL 33612-4742

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