Healthcare Provider Details

I. General information

NPI: 1891733051
Provider Name (Legal Business Name): SCOTT DAVID FARMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 09/18/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2802 ALOMA AVENUE, SUITE 200 CENTRAL FLORIDA PSYCHIATRIC ASSOCIATES, PA
WINTER PARK FL
32792-3532
US

IV. Provider business mailing address

1717 GULFVIEW DR
MAITLAND FL
32751-6375
US

V. Phone/Fax

Practice location:
  • Phone: 407-679-8004
  • Fax: 407-679-4732
Mailing address:
  • Phone: 407-619-1260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME64613
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME64613
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberME64613
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberME64613
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: