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Individual

CHARLES A FARRINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1223 GATEWAY DR STE 2B, MELBOURNE, FL 32901-2607
(321) 361-5614
(321) 952-2330
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5614

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME94096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016677900
FL
01
29415
BCBS
FL
01
29415Y
MEDICARE
FL
Enumeration date
10/26/2005
Last updated
07/20/2022
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