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:
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Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760480842 NPPES
Florida Other 68287 BLUE CROSS

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