Provider Demographics
NPI:1063965028
Name:MCFARLANE, ALFREDA L (SUPPORT COORDINATOR)
Entity type:Individual
Prefix:
First Name:ALFREDA
Middle Name:L
Last Name:MCFARLANE
Suffix:
Gender:F
Credentials:SUPPORT COORDINATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 NE 5TH ST
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-3174
Mailing Address - Country:US
Mailing Address - Phone:813-785-0125
Mailing Address - Fax:863-623-5146
Practice Address - Street 1:1585 NE 5TH ST
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-3174
Practice Address - Country:US
Practice Address - Phone:813-785-0125
Practice Address - Fax:863-623-5146
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL684659079171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator