Provider Demographics
NPI:1174605604
Name:FARMAKIS, ANASTASIA (DO)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:FARMAKIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 CENTRE CIR
Mailing Address - Street 2:SUITE # 1010
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7604
Mailing Address - Country:US
Mailing Address - Phone:407-862-5637
Mailing Address - Fax:407-862-8243
Practice Address - Street 1:940 CENTRE CIR
Practice Address - Street 2:SUITE # 1010
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7604
Practice Address - Country:US
Practice Address - Phone:407-862-5637
Practice Address - Fax:407-862-8243
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS-6715208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG58288Medicare UPIN
FL57467CMedicare ID - Type Unspecified