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Individual

DEAN A FAUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31860 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3713
(727) 787-6335
(727) 772-2160
Mailing address
12780 RACE TRACK RD, TAMPA, FL 33626-1397
(813) 891-6501
(813) 891-6502

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME21474
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055330100
FL
Enumeration date
09/29/2006
Last updated
09/13/2011
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