Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 0039753 | FL |
NPI | 1053340521 |
---|---|
Provider Name | Dr. Douglas E Faig |
First Address | Ft Lauderdale, FL 33308-2600 |
Second Address | Ft Lauderdale, FL 33308-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 23/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
049159400 | (05) | FL |
D64661 | (02) | FL |