Individual
WILLIAM FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2073 CEMETERY AVE, 8032 DENNIS ST, SNEADS, FL 32460-2355
(850) 593-6912
Mailing address
2073 CEMETERY AVE, 8032 DENNIS ST, SNEADS, FL 32460-2355
(850) 593-6912
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1170
FL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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