MEDICARE: OCTAVIA S MCFARLANE

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	163W00000X	Registered Nurse	9613370	FL

General Provider Information

NPI Number	:	1770400277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OCTAVIA S MCFARLANE

Provider Business Mailing Address
First Line	:	2721 NW 200TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-2127
Country	:	US
Telephone Number	:	786-539-9776
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 N 21ST AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4537
Country	:	US
Telephone Number	:	305-899-4722
Fax Number	:

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

Provider Enumeration Date	:	07/04/2026
Last Update Date	:	07/04/2026

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Directions to “ OCTAVIA S MCFARLANE ” Practice Location

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