Individual
FARID ASSOUAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 GLADES RD, STE 100, BOCA RATON, FL 33434-4150
(561) 573-3495
(888) 910-3040
Mailing address
7777 GLADES RD, STE 100, BOCA RATON, FL 33434-4150
(561) 573-3495
(888) 910-3040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301079607
MI
207R00000X
Internal Medicine Physician
Primary
ME98413
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301079607
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME98413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019481
MCLAREN HEALTH PLAN
MI
01
—
1020018
MCLAREN HEALTH PLAN
MI
01
—
110591010
BCBSM
MI
05
—
278681800
—
FL
05
—
4803597
—
MI
05
—
4803603
—
MI
05
—
4948825-10
—
MI
Enumeration date
06/14/2006
Last updated
05/21/2012
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