Farrar, Ted A

Farrar, Ted A is an individual health care provider with primary practice located at 807 N Myrtle Ave , Clearwater FL 33755-4254. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Farrar, Ted A can be contacted via phone (727) 467-2400.

Contact Information

Primary practice address
807 N Myrtle Ave Clearwater FL 33755-4254
Fax: (727) 467-2477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 96094 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME96094 Florida

Profile Details

NPI number 1225094972
LBN Legal business name Farrar, Ted A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jun 2nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225094972 NPPES
Florida Other P00634853 RAILROAD MEDICARE PROVIDER NUMBER
Florida MEDICAID 275983700 RAILROAD MEDICARE PROVIDER NUMBER

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