Fariss, Bruce
Fariss, Bruce is an sole proprietor health care provider with primary practice located at 3714 N Roosevelt Blvd Suite 640, Key West FL 33040-4533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fariss, Bruce can be contacted via phone (305) 296-0000.Contact Information
Primary practice address
3714 N Roosevelt Blvd Suite 640
Key West FL 33040-4533
Phone: (305) 296-0000
Fax: (305) 296-0002
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | ME95170 | Florida |
Profile Details
NPI number | 1760480842 |
---|---|
LBN Legal business name | Fariss, Bruce |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 12th, 2005 |
Last updated | Nov 24th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760480842 | NPPES |
Florida | Other | 68287 | BLUE CROSS |
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