Individual
MARY MARIE FAUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-3980
Mailing address
PO BOX 921459, NORCROSS, GA 30010-1459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00013978
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME54880
FL
Other
Enumeration date
06/21/2006
Last updated
03/06/2015
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