Provider Demographics
NPI:1902070907
Name:MCFARLANE, TRECIA ELAINE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:TRECIA
Middle Name:ELAINE ELIZABETH
Last Name:MCFARLANE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6100 BLUE LAGOON DR STE 365
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-7010
Mailing Address - Country:US
Mailing Address - Phone:786-322-7333
Mailing Address - Fax:768-347-5022
Practice Address - Street 1:743 NE 167TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2404
Practice Address - Country:US
Practice Address - Phone:305-957-0017
Practice Address - Fax:786-629-3922
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2021-01-21
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Provider Licenses
StateLicense IDTaxonomies
NY244469207R00000X
FLME115738207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03405676Medicaid
NY03405676Medicaid