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NPI Code Detail

MEDICARE: GARY JAMES FARINAS LMHC

MEDICARE:   GARY JAMES FARINAS  LMHC
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
1101YM0800XMental Health CounselorMH7397FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11023448FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093854929
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY JAMES FARINAS LMHC
Provider Business Mailing Address
First Line : 11229 GREAT NECK RD
Second Line :
City : RIVERVIEW
State : FL
Zip : 33578-4684
Country : US
Telephone Number : 813-401-2135
Fax Number :
Provider Business Practice Location Address
First Line : 106 W WINDHORST RD
Second Line :
City : BRANDON
State : FL
Zip : 33510-2455
Country : US
Telephone Number : 813-401-2135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 01/20/2023

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