Individual
DR. FAREES RICKY TAVANGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7800 SW 87TH AVE STE B210, MIAMI, FL 33173-2537
(305) 271-9777
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(305) 271-9777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME141205
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2013
Last updated
06/20/2019
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