Healthcare Provider Details

I. General information

NPI: 1598731952
Provider Name (Legal Business Name): GREGORY C FARINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 MANATEE AVE E
BRADENTON FL
34208-1235
US

IV. Provider business mailing address

714 MANATEE AVE E
BRADENTON FL
34208-1235
US

V. Phone/Fax

Practice location:
  • Phone: 941-900-4600
  • Fax:
Mailing address:
  • Phone: 941-900-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME 86132
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME86132
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME 86132
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: