| Danny M Farmer Md Pa | |
|
570 Memorial Cir Suite 110 Ormond Beach FL 32174-5002 | |
| (386) 676-3959 | |
| (386) 677-0514 |
| Full Name | Danny M Farmer Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 570 Memorial Cir, Ormond Beach, Florida |
| Authorized Official Name and Position | Danny M Farmer (OWNER) |
| Authorized Official Contact | 3866763959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danny M Farmer Md Pa 570 Memorial Cir Suite 110 Ormond Beach FL 32174-5002 Ph: (386) 676-3959 | Danny M Farmer Md Pa 570 Memorial Cir Suite 110 Ormond Beach FL 32174-5002 Ph: (386) 676-3959 |
| NPI Number | 1821313271 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Medicare PECOS PAC ID | 9133256696 |
|---|---|
| Medicare Enrollment ID | O20100415000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821313271 | NPI | - | NPPES |
| 042997000 | Medicaid | FL | |
| 110229973 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0044452 (Florida) | Primary |
| Provider Name | Danny Mcmillan Farmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629003785 PECOS PAC ID: 6305973868 Enrollment ID: I20100415000246 |
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