Individual
MR. MARK GARRET FARINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1533 4TH AVE W, BRADENTON, FL 34205-5949
(941) 747-1881
Mailing address
11536 57TH STREET CIR E, PARRISH, FL 34219-5817
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT13245
FL
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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