Individual
DR. DANIEL RAYMOND FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12014 W BAYSHORE DR, CRYSTAL RIVER, FL 34429-9261
(407) 620-0211
(352) 220-6463
Mailing address
12014 W BAYSHORE DR, CRYSTAL RIVER, FL 34429-9261
(407) 620-0211
(352) 220-6463
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME99257
FL
207Q00000X
Family Medicine Physician
Primary
35807
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297861
—
IA
Enumeration date
07/08/2005
Last updated
09/22/2009
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