Organization Active NPI

Graham Robinson-Farah MD PA

  • Family Medicine Physician
  • Winter Haven, FL
National Provider Identifier
1497289326
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114058 Issued in FL
Legal business name
GRAHAM ROBINSON-FARAH MD PA
Practice address
818 Hart Lake St
Winter Haven, FL 33884-4160
Phone
(631) 885-5669
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Graham Robinson-Farah, MD
Title
Ceo
Phone
(631) 885-5669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME114058 FL Primary

Addresses

Primary practice location

818 Hart Lake St
Winter Haven, FL 33884-4160

Mailing address

818 Hart Lake St
Winter Haven, FL 33884-4160
Phone (631) 885-5669

National Provider Directory

National Provider Directory

Locations

28055 Hwy 27
Dundee, FL 33838
Phone (863) 439-7377

775 Cypress Gardens Blvd
Winter Haven, FL 33880
Phone (631) 885-5669

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1497289326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 HART LAKE ST",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844160",
            "telephone_number": "631-885-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 HART LAKE ST",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844160",
            "telephone_number": "631-885-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM ROBINSON-FARAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "ROBINSON-FARAH",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-885-5669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.