Provider Demographics
NPI:1972728970
Name:MCFARLAND, JAMES RILEY II (CPED)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:RILEY
Last Name:MCFARLAND
Suffix:II
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:MCFARLAND
Other - Middle Name:SHOE
Other - Last Name:REPAIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5355 S FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-4913
Mailing Address - Country:US
Mailing Address - Phone:863-644-6395
Mailing Address - Fax:863-644-6395
Practice Address - Street 1:5355 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-4913
Practice Address - Country:US
Practice Address - Phone:863-644-6395
Practice Address - Fax:863-644-6395
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5973590001Medicare NSC