Farrell, Mary
Farrell, Mary is an individual health care provider with primary practice located at 1814 Lucerne Terrace Suite C, Orlando FL 32806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Farrell, Mary can be contacted via phone (727) 456-4250.Contact Information
Primary practice address
1814 Lucerne Terrace Suite C
Orlando FL 32806
Phone: (727) 456-4250
Fax: (727) 346-1044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ME42646 | Florida |
Profile Details
| NPI number | 1013024785 |
|---|---|
| LBN Legal business name | Farrell, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Feb 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013024785 | NPPES |
| Florida | MEDICAID | 069192501 | |
| Florida | Other | 47655U |
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