Provider Demographics
NPI:1225206949
Name:FARRANCE, ELENA (AP)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:FARRANCE
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 RIDGEBERRY DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-4128
Mailing Address - Country:US
Mailing Address - Phone:321-251-5989
Mailing Address - Fax:321-251-8522
Practice Address - Street 1:7009 DR PHILLIPS BLVD
Practice Address - Street 2:STE 295
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5123
Practice Address - Country:US
Practice Address - Phone:321-251-5989
Practice Address - Fax:321-251-8522
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1981171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist