Individual
JOANA A FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6201 N SUNCOAST BLVD, SEVEN RIVERS MED CENTER - PATHOLOGY DEPT, CRYSTAL RIVER, FL 34428-6712
(352) 795-8372
Mailing address
2 SEASIDE LN APT 604, BELLEAIR, FL 33756-1988
(859) 221-0370
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
C53040
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
K5087
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME100427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355713
BCBS
KY
05
—
2004992-000
—
WV
01
—
220033051
TRAVELERS
KY
05
—
2398427
—
OH
01
—
50003208
PASSPORT - MCD HMO
KY
05
—
64003098
—
KY
Enumeration date
01/16/2006
Last updated
11/23/2014
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