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NPI Code Detail

MEDICARE: FARAH PENEL APRN

MEDICARE: FARAH PENEL APRN
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
1363LC0200XCritical Care Medicine Nurse PractitionerAPRN11003797FL
2363L00000XNurse Practitioner11003797FL
3363LA2200XAdult Health Nurse PractitionerAPRN11003797FL

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 : 1912542879
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARAH PENEL APRN
Provider Business Mailing Address
First Line : 30310 SW 154TH AVE
Second Line :
City : HOMESTEAD
State : FL
Zip : 33033-3503
Country : US
Telephone Number : 786-261-9556
Fax Number :
Provider Business Practice Location Address
First Line : 2500 HARBOR BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-5000
Country : US
Telephone Number : 407-303-7283
Fax Number : 407-303-0473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2019
Last Update Date : 03/10/2026

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