Individual
DR. VINCE FARIDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1620 NW 122ND AVE, PEMBROKE PINES, FL 33026-2538
(954) 895-5729
Mailing address
1620 NW 122ND AVE, PEMBROKE PINES, FL 33026-2538
(954) 895-5729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70100
GA
207R00000X
Internal Medicine Physician
ME135081
FL
208M00000X
Hospitalist Physician
Primary
ME135081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102506400
—
FL
01
—
LI837
MEDICARE - FL
FL
Enumeration date
04/10/2009
Last updated
01/31/2024
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