Provider Demographics
NPI:1013306646
Name:PHILIPPE, FARAH (APRN)
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:PHILIPPE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:FARAH
Other - Middle Name:
Other - Last Name:MILFORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2139 N UNIVERSITY DR # 2256
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6134
Mailing Address - Country:US
Mailing Address - Phone:410-807-2374
Mailing Address - Fax:
Practice Address - Street 1:2139 N UNIVERSITY DR # 2256
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6134
Practice Address - Country:US
Practice Address - Phone:954-405-2736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-20
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11031459363LP2300X, 363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty