Individual
JACQUES NATHAN FARKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Mailing address
521 W STATE ROAD 434, STE 301, LONGWOOD, FL 32750-5166
(321) 841-7550
(321) 841-8185
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME53374
FL
208600000X
Surgery Physician
ME53374
FL
2086S0127X
Trauma Surgery Physician
ME53374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044749800
—
FL
01
—
ME53374
MEDICAL LICENSE
FL
Enumeration date
05/24/2006
Last updated
03/06/2018
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