Individual
MR. GREG FARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10251 W SAMPLE RD STE D, CORAL SPRINGS, FL 33065-3928
(954) 507-4530
Mailing address
10251 W SAMPLE RD STE D, CORAL SPRINGS, FL 33065-3928
(954) 507-4530
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9336363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299994695
FLORIDA AHCA
FL
Enumeration date
08/22/2017
Last updated
07/21/2022
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