Individual
CHARLES B FARMER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3939 EASTGATE CT, NORTH FORT MYERS, FL 33917-7236
(239) 543-6099
Mailing address
418 E CHURCH AVE # 55, MEDINA, TN 38355-9762
(731) 267-6861
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
LPN0000040736
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN0000040736
STATE ISSUED
TN
Enumeration date
06/09/2022
Last updated
06/09/2022
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