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NPI Code Detail

MEDICARE: MS. GINA RENEE FARKAS CCC/SLP

MEDICARE: MS. GINA RENEE FARKAS CCC/SLP
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
1235Z00000XSpeech-Language Pathologist19410TX

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 : 1588749519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GINA RENEE FARKAS CCC/SLP
Provider Business Mailing Address
First Line : 8477 S SUNCOAST BLVD
Second Line :
City : HOMOSASSA
State : FL
Zip : 34446-5028
Country : US
Telephone Number : 800-381-0822
Fax Number : 352-565-5201
Provider Business Practice Location Address
First Line : 6251 STEVENSON OAKS DR
Second Line :
City : FT WORTH
State : TX
Zip : 76123-2783
Country : US
Telephone Number : 800-381-0822
Fax Number : 352-565-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 09/10/2025

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