Farrell, Daniel Raymond

Farrell, Daniel Raymond is an sole proprietor health care provider with primary practice located at 12014 W Bayshore Dr , Crystal River FL 34429-9261. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Farrell, Daniel Raymond can be contacted via phone (407) 620-0211.

Contact Information

Primary practice address
12014 W Bayshore Dr Crystal River FL 34429-9261
Phone: (407) 620-0211
Fax: (352) 220-6463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35807 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME99257 Florida

Profile Details

NPI number 1386642924
LBN Legal business name Farrell, Daniel Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Sep 22nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386642924 NPPES
Iowa MEDICAID 0297861

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