Individual
DR. CRISTIANO NICOLETTI FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-4900
(561) 434-5165
Mailing address
180 JFK DR, SUITE 320, ATLANTIS, FL 33462-6641
(561) 548-4900
(561) 434-5165
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME107141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003504000
MEDICAID
FL
01
—
DX909XW
MEDICARE
FL
Enumeration date
07/06/2010
Last updated
01/13/2022
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