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NPI Code Detail

MEDICARE: JACQUES NATHAN FARKAS MD

MEDICARE: JACQUES NATHAN FARKAS MD
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
1208600000XSurgery PhysicianME53374FL
22086S0127XTrauma Surgery PhysicianME53374FL
3207T00000XNeurological Surgery PhysicianME53374FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME53374OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1437104577
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUES NATHAN FARKAS MD
Provider Business Mailing Address
First Line : 521 W STATE ROAD 434
Second Line : STE 301
City : LONGWOOD
State : FL
Zip : 32750-5166
Country : US
Telephone Number : 321-841-7550
Fax Number : 321-841-8185
Provider Business Practice Location Address
First Line : 89 W COPELAND DR
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2002
Country : US
Telephone Number : 321-841-7550
Fax Number : 321-841-8185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 03/06/2018

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Directions to “ JACQUES NATHAN FARKAS MD” Practice Location

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