Basic Information
| Provider Information | |||||||||
| NPI: | 1306396387 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FARQUHAR | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | LMT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2220 NW 55TH BLVD APT 1 | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326532169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522197002 | ||||||||
| FaxNumber: | 3522406858 | ||||||||
| Practice Location | |||||||||
| Address1: | 2727 NW 43RD ST STE 8B | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326066632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3527457554 | ||||||||
| FaxNumber: | 3522406858 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2016 | ||||||||
| LastUpdateDate: | 10/13/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | MA77634 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
No ID Information.