Individual
DR. AVROHM WILLIAM FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5220 BELFORT RD, STE 130, JACKSONVILLE, FL 32256-6017
(727) 867-5480
(888) 507-9833
Mailing address
5220 BELFORT RD, STE 130, JACKSONVILLE, FL 32256-6017
(727) 867-5480
(888) 507-9833
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
ME0026490
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
ME0026490
FL
208600000X
Surgery Physician
Primary
ME0026490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036668400
—
FL
Enumeration date
09/19/2005
Last updated
06/18/2013
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