Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | ME42646 | FL |
NPI | 1013024785 |
---|---|
Provider Name | Mary Farrell |
First Address | St Petersburg, FL 33701-1547 |
Second Address | Orlando, FL 32806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 03/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
069192501 | (05) | FL |
47655U | MEDICARE PTAN (01) | FL |