Individual
SANDRA MELISSA FARACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7968
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
ME133758
FL
2086S0127X
Trauma Surgery Physician
Primary
ME133758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108652900
—
FL
01
—
3F5D3
BCBS
FL
Enumeration date
03/28/2010
Last updated
09/07/2021
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