Provider Demographics
NPI:1780641969
Name:FARBER, MANUEL STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:STEVEN
Last Name:FARBER
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 1:606 DRUID WAY
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-4457
Mailing Address - Country:US
Mailing Address - Phone:813-962-8930
Mailing Address - Fax:
Practice Address - Street 1:606 DRUID WAY
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-4457
Practice Address - Country:US
Practice Address - Phone:813-962-8930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-29
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 387072085R0204X
FLME38707208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice