Organization Name: | EILEEN F. FARWICK, D.O.,P.A. |
NPI Number: | 1073583761 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EILEEN F FARWICK (PRESIDENT) |
Mailing Address: | 10000 W Colonial Dr Suite 386 Ocoee |
State: | FL US |
Postal Code: | 347613498 |
Phone Number: | 4072961990 |
Fax Number: | 4072961992 |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 05/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | ARNP 9297245 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |