Individual
DR. KEVIN J. FARQUHARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 259-2159
(352) 259-5731
Mailing address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 259-2159
(352) 259-5731
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME89545
FL
208D00000X
General Practice Physician
Primary
ME89545
FL
261QA1903X
Ambulatory Surgical Clinic/Center
ME89545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268944800
—
FL
01
—
37631
BLUE SHIELD OF FL
FL
01
—
37631W
MEDICARE
FL
Enumeration date
06/25/2006
Last updated
03/17/2018
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