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Individual

MARIA FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1625 SE 3RD AVE STE 601, FORT LAUDERDALE, FL 33316-2521
(954) 848-8133
(954) 848-8143
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 848-8133
(954) 848-8143

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OS12611
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017538000
FL
Enumeration date
05/27/2014
Last updated
06/27/2024
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