Provider Demographics
NPI:1255866133
Name:MACFARLAND, ANTHONY I
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:MACFARLAND
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 54TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-5144
Mailing Address - Country:US
Mailing Address - Phone:727-336-6427
Mailing Address - Fax:
Practice Address - Street 1:2050 54TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-5144
Practice Address - Country:US
Practice Address - Phone:727-336-6427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL16000052528246ZB0301X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZB0301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiomedical Engineering
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies