Provider Demographics
NPI:1306396387
Name:FARQUHAR, AARON L (LMT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:L
Last Name:FARQUHAR
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 NW 55TH BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-2169
Mailing Address - Country:US
Mailing Address - Phone:352-219-7002
Mailing Address - Fax:352-240-6858
Practice Address - Street 1:2727 NW 43RD ST STE 8B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6632
Practice Address - Country:US
Practice Address - Phone:352-745-7554
Practice Address - Fax:352-240-6858
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA77634225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist