Provider Demographics
NPI:1447510748
Name:HARTMANN, FARAH MAHBUB (MD)
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:MAHBUB
Last Name:HARTMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6005
Mailing Address - Country:US
Mailing Address - Phone:239-262-3399
Mailing Address - Fax:239-261-1189
Practice Address - Street 1:410 CELEBRATION PL
Practice Address - Street 2:SUITE 208
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5433
Practice Address - Country:US
Practice Address - Phone:407-566-2229
Practice Address - Fax:407-566-2499
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126404207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology