Provider Demographics
NPI:1891733051
Name:FARMER, SCOTT DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DAVID
Last Name:FARMER
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 1:1717 GULFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-6375
Mailing Address - Country:US
Mailing Address - Phone:407-619-1260
Mailing Address - Fax:
Practice Address - Street 1:2802 ALOMA AVENUE, SUITE 200
Practice Address - Street 2:CENTRAL FLORIDA PSYCHIATRIC ASSOCIATES, PA
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3532
Practice Address - Country:US
Practice Address - Phone:407-679-8004
Practice Address - Fax:407-679-4732
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME646132084P0800X, 2084P0804X, 2084F0202X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
260025987OtherRAILROAD MEDICARE
FL374790500Medicaid
FL23606OtherBCBS
260025987OtherRAILROAD MEDICARE
D25870Medicare UPIN