Individual
DR. WAGDI FARIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 SE MARICAMP RD, OCALA, FL 34471
(352) 629-9566
(352) 629-0155
Mailing address
2727 SE MARICAMP RD, OCALA, FL 34471
(352) 629-9566
(352) 629-0155
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0027677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0612640
CIGNA
—
01
—
0612640001
CIGNA PAL
—
01
—
0900Z
VANTAGE
—
01
—
1038979
AETNA HMO
—
01
—
204580
AVMED
—
01
—
42113
BCBS
—
01
—
5967300
AETNA NON HMO
—
Enumeration date
01/17/2006
Last updated
07/08/2007
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