Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME0023113 | FL |
NPI | 1073513446 |
---|---|
Provider Name | Dr. Richard S Faro |
First Address | Palm Beach Gardens, FL 33410-4327 |
Second Address | Palm Beach Gardens, FL 33410-4327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 08/07/2007 |