Provider Demographics
NPI:1982937520
Name:FARRINGTON, MICHELLE A (LMT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:FARRINGTON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 GAYLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4618
Mailing Address - Country:US
Mailing Address - Phone:407-222-3210
Mailing Address - Fax:
Practice Address - Street 1:1478 E BUENA VISTA DR
Practice Address - Street 2:
Practice Address - City:LAKE BUENA VISTA
Practice Address - State:FL
Practice Address - Zip Code:32830-8422
Practice Address - Country:US
Practice Address - Phone:407-222-3210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 12260174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist