Individual
ANAS FARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 974-2201
Mailing address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 974-2201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.147902
OH
207R00000X
Internal Medicine Physician
ME174477
FL
207RC0000X
Cardiovascular Disease Physician
ME174477
FL
207RI0011X
Interventional Cardiology Physician
ME174477
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
06/28/2025
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