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Individual

MARC J FARRAYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
Mailing address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
049607
GA
207P00000X
Emergency Medicine Physician
Primary
ME84425
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000905286C
GA
05
00905286B
GA
01
13736
BCBS
FL
05
264217400
FL
Enumeration date
03/01/2006
Last updated
03/27/2025
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