Individual
BRIANNA FARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 794-1474
Mailing address
1243 SUSANNAH BLVD, ORLANDO, FL 32803-3142
19528074892
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9110713
FL
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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