Provider Demographics
NPI:1295959948
Name:FARBER, SCOTT THORNE (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:THORNE
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 1:7700 CAMINO REAL STE 403
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5543
Mailing Address - Country:US
Mailing Address - Phone:561-503-2700
Mailing Address - Fax:
Practice Address - Street 1:7700 W CAMINO REAL
Practice Address - Street 2:SUITE 403
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5576
Practice Address - Country:US
Practice Address - Phone:561-503-2700
Practice Address - Fax:561-221-0570
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081927208200000X, 2086S0122X
FLME1038422086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2F311ET041Medicare PIN