Individual
DR. LORETTA M COADY-FARIBORZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8670
(352) 273-8639
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8670
(352) 273-8639
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME89129
FL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
ME89129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278605200
—
FL
Enumeration date
11/17/2006
Last updated
11/29/2011
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