Individual
DR. RONALD BARRY FAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E BROWARD BLVD, FORT LAUDERDALE, FL 33301-2134
(954) 463-6408
(954) 463-1858
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
ME32413
FL
208800000X
Urology Physician
Primary
ME0032413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000056842, X
HUMANA
FL
01
—
002529
NEIGHBORHOOD HEALTH PARTNERSHIP
FL
05
—
0377015-00
—
FL
01
—
0925624
CIGNA
FL
01
—
11984
MEDICA
FL
01
—
205812
AVMED
FL
01
—
2529
DIMENSIONS
FL
01
—
4069055
AETNA
FL
01
—
93504
BCBS OF FL
FL
01
—
P0003142
FLORIDA HEALTHCARE PLUS
FL
01
—
P00731865
RAIL ROAD MEDICARE
FL
Enumeration date
09/08/2005
Last updated
10/15/2012
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