Individual
DR. SAMIR H FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W COCOA BEACH CSWY, CCH/HOSPITALIST DEPT, COCOA BEACH, FL 32931-3585
(321) 868-5871
(321) 868-5852
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 868-5871
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME96516
FL
208M00000X
Hospitalist Physician
Primary
ME96516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279990100
—
FL
01
—
AH690X
MEDICARE
FL
01
—
ME96516
LICENSE
FL
Enumeration date
05/02/2006
Last updated
05/02/2018
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