Individual
BRUCE FARISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3714 N ROOSEVELT BLVD, SUITE 640, KEY WEST, FL 33040-4533
(305) 296-0000
(305) 296-0002
Mailing address
819 PEACOCK PLZ, BOX 903, KEY WEST, FL 33040-4255
(305) 296-0000
(305) 296-0002
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME95170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68287
BLUE CROSS
FL
Enumeration date
07/12/2005
Last updated
11/24/2010
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