Individual
DEREK JAMES FARIDAD
Active
Individual
DEREK JAMES FARIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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