MEDICARE: SCOTT E. FARBER, DDS.,P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	DN0010034	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	T85347	OTHER	FL	MEDICARE PROVIDER # 60586 FLORIDA

General Provider Information

NPI Number	:	1043582331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT E. FARBER, DDS.,P.A

Provider Business Mailing Address
First Line	:	5150 CURRY FORD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-8744
Country	:	US
Telephone Number	:	407-282-3304
Fax Number	:	407-380-5486

Provider Business Practice Location Address
First Line	:	5150 CURRY FORD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-8744
Country	:	US
Telephone Number	:	407-282-3304
Fax Number	:	407-380-5486

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOTT ELLIOTT FARBER
Credential	:	DDS
Telephone Number	:	407-282-3304

Provider Enumeration Date	:	02/01/2012
Last Update Date	:	02/01/2012

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