MEDICARE: DR. SCOTT DAVID FARMER MD

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	2084P0800X	Psychiatry Physician	ME64613	FL
2	2084P0804X	Child & Adolescent Psychiatry Physician	ME64613	FL
3	2084F0202X	Forensic Psychiatry Physician	ME64613	FL
4	2084P0802X	Addiction Psychiatry Physician	ME64613	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	260025987	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	23606	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1891733051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT DAVID FARMER MD

Provider Business Mailing Address
First Line	:	1717 GULFVIEW DR
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-6375
Country	:	US
Telephone Number	:	407-619-1260
Fax Number	:

Provider Business Practice Location Address
First Line	:	2802 ALOMA AVENUE, SUITE 200
Second Line	:	CENTRAL FLORIDA PSYCHIATRIC ASSOCIATES, PA
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3532
Country	:	US
Telephone Number	:	407-679-8004
Fax Number	:	407-679-4732

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	09/18/2020

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Directions to “ DR. SCOTT DAVID FARMER MD” Practice Location

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