Active NPI
Mildred Veronica Farmer, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Brooksville, FL
National Provider Identifier
1023440260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME0048792
- Practice address
- 16176 Cortez Blvd
Brooksville, FL 34601-8910 - Phone
- (352) 597-8839
- NPI assigned
- Jul 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME0048792 | FL | Primary |
Addresses
Primary practice location
16176 Cortez Blvd
Brooksville, FL 34601-8910
Mailing address
1800 N Shore Dr NE
St Petersburg, FL 33704-4836
Phone (727) 560-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578777694 | Other | FL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0048792 | FL | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1023440260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 N SHORE DR NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044836",
"telephone_number": "727-560-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16176 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346018910",
"telephone_number": "352-597-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "MILDRED",
"middle_name": "VERONICA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME0048792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578777694",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.