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NPI Code Detail

MEDICARE: MRS. BRETT E KRUMHOLZ FARINAS PA-C

MEDICARE: MRS. BRETT E KRUMHOLZ FARINAS 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 AssistantPA9108244FL

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 : 1578965265
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRETT E KRUMHOLZ FARINAS PA-C
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-1355
Fax Number : 813-635-2613
Provider Business Practice Location Address
First Line : 4321 N MACDILL AVE STE 407
Second Line :
City : TAMPA
State : FL
Zip : 33607-6396
Country : US
Telephone Number : 813-554-8690
Fax Number : 813-605-6068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 01/28/2022

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