Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | OS13515 | FL |
NPI | 1124459086 |
---|---|
Provider Name | Mathew Farbman |
First Address | Fort Lauderdale, FL 33308-4603 |
Second Address | Fort Lauderdale, FL 33308-4603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2013 |
Last Update Date | 28/07/2016 |