Individual provider · Type 1 NPI

Daryl Keith Hartley, PA

Medical Physician Assistant · Melbourne, FL

NPI number 1578873535 Active

Practice location

1350 Hickory St
Melbourne, FL 32901-3224

Call (321) 312-3490 Map

Fax (321) 956-2542

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9116370 (FL)
Medical Physician Assistant Primary 363AM0700XPA9116370 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1578873535

Daryl Keith Hartley, PA's National Provider Identifier is 1578873535, issued on Oct 8, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Melbourne, FL. The record was last updated on May 23, 2025.