Individual
MILDRED VERONICA FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16176 CORTEZ BLVD, BROOKSVILLE, FL 34601-8910
(352) 597-8839
Mailing address
1800 N SHORE DR NE, ST PETERSBURG, FL 33704-4836
(727) 560-2323
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0048792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578777694
NPI
FL
Enumeration date
07/30/2013
Last updated
07/30/2013
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