Provider Demographics
NPI:1770640872
Name:FARINAS, ANNEMARIE
Entity Type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:
Last Name:FARINAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 NW N RIVER DR.
Mailing Address - Street 2:112
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125
Mailing Address - Country:US
Mailing Address - Phone:305-609-6321
Mailing Address - Fax:
Practice Address - Street 1:1740 NW NORTH RIVER DR
Practice Address - Street 2:112
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-2335
Practice Address - Country:US
Practice Address - Phone:305-609-6321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8336235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist