Individual
DR. FARIBA M DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11505 RANGELAND PKWY, BRADENTON, FL 34211-4041
(941) 362-8640
(941) 362-8641
Mailing address
11505 RANGELAND PKWY, BRADENTON, FL 34211-4041
(941) 362-8640
(941) 362-8641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME100182
FL
207RI0200X
Infectious Disease Physician
Primary
ME 100182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147QQ
FL BC/BS
FL
Enumeration date
07/09/2008
Last updated
09/28/2016
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