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Individual

DEREK JAMES FARIDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5000 UNIVERSITY DR, CORAL GABLES, FL 33146-2008
(786) 308-2301
(786) 308-2344
Mailing address
2555 PONCE DE LEON BLVD, 4TH FLOOR, CORAL GABLES, FL 33134-6010
(305) 702-5135
(305) 441-2144

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME77101
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME77101
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041309
NHP
FL
05
256693100
FL
01
285183
AVMED
FL
01
300131767
RAILROAD MEDICARE
FL
01
46566
BCBS
FL
Enumeration date
06/15/2006
Last updated
11/07/2014
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