Individual
IBRAHIM FARUQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-8054
(352) 265-7214
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-8054
(352) 265-7214
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
94-06677
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME104804
FL
207RP1001X
Pulmonary Disease Physician
94-06677
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001265200
—
FL
Enumeration date
02/09/2007
Last updated
10/14/2009
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