Individual
DR. PAUL JOSEPH FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
PO BOX 919379, ORLANDO, FL 32891-9379
(844) 453-1406
(772) 621-3180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO5229
FL
2085R0202X
Diagnostic Radiology Physician
69023
MN
2085R0202X
Diagnostic Radiology Physician
Primary
OS15272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110610400
—
FL
01
—
N0975
FL MEDICARE
FL
01
—
XHRZU
FL BCBS
FL
Enumeration date
06/22/2016
Last updated
08/03/2021
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