Provider Demographics
NPI:1972315323
Name:FARRAR, JENNIFER SOPHIA (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:SOPHIA
Last Name:FARRAR
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6771 PROFESSIONAL PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8460
Mailing Address - Country:US
Mailing Address - Phone:941-702-0553
Mailing Address - Fax:941-358-6397
Practice Address - Street 1:6771 PROFESSIONAL PKWY STE 102
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8460
Practice Address - Country:US
Practice Address - Phone:941-702-0553
Practice Address - Fax:941-358-6397
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15328111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor