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Individual

JOHN A. FARNELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4137 HUNTERS PARK LN, ORLANDO, FL 32837-7669
(407) 304-1730
(407) 304-1733
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
(407) 262-5710
(407) 262-5796

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME69146
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379834800
FL
Enumeration date
10/21/2005
Last updated
04/22/2011
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