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Individual

DR. EILEEN F FARWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
10000 W COLONIAL DR, SUITE 386, OCOEE, FL 34761-3498
(407) 296-1990
(407) 296-1992
Mailing address
10000 W COLONIAL DR, STE 386, OCOEE, FL 34761-3498
(407) 296-1990
(407) 296-1992

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OSO005926
FL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
OS-5926
FL
207VG0400X
Gynecology Physician
OS0005926
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266246900
FL
01
4549601
AETNA
01
80913
BLUE CROSS BLUE SHIELD
Enumeration date
10/10/2005
Last updated
03/27/2015
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