DANIEL FARNSWORTH

PORT ST LUCIE, FL
NPI1821557992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  13365940-1204)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-18
Last Update Date2023-05-12
Business Address
DANIEL FARNSWORTH DO
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952-7521
Phone number: 772-398-3623
Mailing Address
DANIEL FARNSWORTH DO
618 N 540 E
MAPLETON, UT 84664-3772
Phone number: