Healthcare Provider Details

I. General information

NPI: 1376787002
Provider Name (Legal Business Name): ANGEL F FARINAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 TOWN CENTER DRIVE
ANNISTON AL
36205
US

IV. Provider business mailing address

P.O. BOX 5430
ANNISTON AL
36205
US

V. Phone/Fax

Practice location:
  • Phone: 256-237-1625
  • Fax: 256-241-2277
Mailing address:
  • Phone: 256-237-1625
  • Fax: 256-241-5400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number68589
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number49360
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: