Provider Demographics
NPI:1659388775
Name:FARKAS, DANIELA MARINAU (DPM)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:MARINAU
Last Name:FARKAS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 N FEDERAL HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2400
Mailing Address - Country:US
Mailing Address - Phone:954-454-6866
Mailing Address - Fax:954-454-6836
Practice Address - Street 1:1001 N FEDERAL HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2400
Practice Address - Country:US
Practice Address - Phone:954-454-6866
Practice Address - Fax:954-457-1861
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2957213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340267300Medicaid
FLK3422OtherGROUP NUMBER
FL340267300Medicaid
FLK3422OtherGROUP NUMBER