MEDICARE: FARAH PHILIPPE APRN

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
1	363LP2300X	Primary Care Nurse Practitioner	11031459	FL
2	363LF0000X	Family Nurse Practitioner	11031459	FL

General Provider Information

NPI Number	:	1013306646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAH PHILIPPE APRN

Provider Business Mailing Address
First Line	:	2139 N UNIVERSITY DR # 2256
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6134
Country	:	US
Telephone Number	:	410-807-2374
Fax Number	:

Provider Business Practice Location Address
First Line	:	2139 N UNIVERSITY DR # 2256
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6134
Country	:	US
Telephone Number	:	954-405-2736
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2015
Last Update Date	:	09/30/2025

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