Individual
FARAH PENEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(407) 303-7283
(407) 303-0473
Mailing address
30310 SW 154TH AVE, HOMESTEAD, FL 33033-3503
(786) 261-9556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11003797
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11003797
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN11003797
FL
Other
Enumeration date
11/14/2019
Last updated
04/28/2026
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