MEDICARE: FARHAN NAVIWALA

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	246QL0900X	Laboratory Management Specialist/Technologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1841852308	OTHER	FL	HTF LAB SERVICES

General Provider Information

NPI Number	:	1841852308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARHAN NAVIWALA

Provider Business Mailing Address
First Line	:	19322 SW 39TH ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-2742
Country	:	US
Telephone Number	:	888-412-2098
Fax Number	:	401-633-6894

Provider Business Practice Location Address
First Line	:	19322 SW 39TH ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-2742
Country	:	US
Telephone Number	:	195-449-8451
Fax Number	:	401-633-6894

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

Provider Enumeration Date	:	07/05/2019
Last Update Date	:	12/09/2020

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Directions to “ FARHAN NAVIWALA ” Practice Location

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