Provider Demographics
NPI:1891004925
Name:MCFARLIN, SONIA GARZA (ISC)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:GARZA
Last Name:MCFARLIN
Suffix:
Gender:F
Credentials:ISC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9337 TRAMORE GLEN COURT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-4681
Mailing Address - Country:US
Mailing Address - Phone:904-519-5481
Mailing Address - Fax:904-519-1167
Practice Address - Street 1:9337 TRAMORE GLEN CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-4681
Practice Address - Country:US
Practice Address - Phone:904-519-5481
Practice Address - Fax:904-519-1167
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL674719196Medicaid
FL674719198Medicaid