Provider Demographics
NPI:1760401186
Name:FARCY, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:FARCY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 COLLINS AVE
Mailing Address - Street 2:APT 1805
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33141-9625
Mailing Address - Country:US
Mailing Address - Phone:305-866-5428
Mailing Address - Fax:
Practice Address - Street 1:2727 WINKLER AVE
Practice Address - Street 2:2ND FLOOR ICU
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-9358
Practice Address - Country:US
Practice Address - Phone:239-939-1147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96083207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU 8181 ZQOtherMEDICARE
FL2759128Medicaid
FLI 61619Medicare UPIN