Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301081927 | MI |
N | 208600000X | Surgeon | 4301081927 | MI |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 4301081927 | MI |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME103842 | FL |
NPI | 1295959948 |
---|---|
Provider Name | Dr. Scott Thorne Farber |
First Address | Boca Raton, FL 33433-5543 |
Second Address | Boca Raton, FL 33433-5576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 24/11/2020 |