DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICHAEL J FARLESS PA-C

MEDICARE: MICHAEL J FARLESS PA-C
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
1363A00000XPhysician Assistant8912GA
2363A00000XPhysician Assistant50.003442OH
3363A00000XPhysician AssistantPA9107975FL

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 : 1952679136
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J FARLESS PA-C
Provider Business Mailing Address
First Line : 75 REMIT DR
Second Line : #1056
City : CHICAGO
State : IL
Zip : 60675-1056
Country : US
Telephone Number : 866-916-5259
Fax Number : 231-922-4030
Provider Business Practice Location Address
First Line : 4427 EMERSON ST. #4
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-4969
Country : US
Telephone Number : 904-398-7015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2011
Last Update Date : 12/09/2025

Similar Medicare Providers

1497702625 — JOAN B LEHMANN MD
Practice Location Address:
4427 EMERSON ST
JACKSONVILLE, FL
32207-4969
Practice Phone: 904-398-7015
Practice Fax:
1649768037 — TIFFANY ANGELA YARBOUGH
Practice Location Address:
4427 EMERSON ST # 4308
JACKSONVILLE, FL
32207-4969
Practice Phone: 904-398-7015
Practice Fax:
1295223600 — RONALD NORTH CAP
Practice Location Address:
4427 EMERSON ST
JACKSONVILLE, FL
32207-4969
Practice Phone: 904-398-0837
Practice Fax: 904-346-0837
1619465093 — MRS. VANETTA K SINCLAIR BS,CAP
Practice Location Address:
4427 EMERSON ST
JACKSONVILLE, FL
32207-4969
Practice Phone: 904-398-7015
Practice Fax:
1275021651 — KENDRA GRAY LEE
Practice Location Address:
4427 EMERSON ST
JACKSONVILLE, FL
32207-4969
Practice Phone: 904-398-7015
Practice Fax: 904-346-0837
1689162091 — ALICIA RENEE REYNOLDS
Practice Location Address:
4427 EMERSON ST
JACKSONVILLE, FL
32207-4969
Practice Phone: 904-398-7015
Practice Fax: 904-346-0837

Directions to “ MICHAEL J FARLESS PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.