Organization
CARDIOTHORACIC VASCULAR SURGEONS OF OCALA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBA GHARAI MD (PRESIDENT)
(352) 484-0792
Entity
Organization
Contact information
Practice address
5042 SE 4TH AVE, OCALA, FL 34480-4763
(352) 687-3576
(352) 687-3370
Mailing address
PO BOX 1749, OCALA, FL 34478-1749
(352) 687-3576
(352) 687-3370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME94805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000147700
—
FL
Enumeration date
02/16/2010
Last updated
02/16/2010
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