IndividualActive
Jacquelene Gilbert Farnham, DMD
NPI 1932296514 · Dentist · Mandarin, FL
Provider details
- NPI number
- 1932296514
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DN0008863 (FL)
Specialties & taxonomies
Dental Providers
Practice location
11528 San Jose Blvd
Mandarin, FL 32223
Phone: (904) 262-2551
Fax: (904) 262-2930
Approximate (ZIP-level) locationGet directions
Mailing address
11528 San Jose Blvd
Mandarin, FL 32223
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.