| Javier Farach MD, PA | |
|
1545 Hand Ave Suite B1 Ormond Beach FL 32174-1139 | |
| (386) 615-3838 | |
| (386) 615-3848 |
| Full Name | Javier Farach MD, PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 1545 Hand Ave, Ormond Beach, Florida |
| Authorized Official Name and Position | Carlos Javier Farach (PRESIDENT) |
| Authorized Official Contact | 3866153838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Farach MD, PA 1545 Hand Ave Suite B1 Ormond Beach FL 32174-1139 Ph: (386) 615-3838 | Javier Farach MD, PA 1545 Hand Ave Suite B1 Ormond Beach FL 32174-1139 Ph: (386) 615-3838 |
| NPI Number | 1851347868 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 07/27/2010 |
| Medicare PECOS PAC ID | 8325062375 |
|---|---|
| Medicare Enrollment ID | O20060118000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851347868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Carlos Javier Farach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386610186 PECOS PAC ID: 7315961364 Enrollment ID: I20060119000076 |
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