Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | ME32413 | FL |
Y | 208800000X | Urologist | ME0032413 | FL |
NPI | 1437143187 |
---|---|
Provider Name | Dr. Ronald Barry Fauer |
First Address | Fort Myers, FL 33907-1412 |
Second Address | Fort Lauderdale, FL 33301-2134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 15/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000056842, X | HUMANA (01) | FL |
002529 | NEIGHBORHOOD HEALTH PARTNERSHIP (01) | FL |
0377015-00 | (05) | FL |
0925624 | CIGNA (01) | FL |
11984 | MEDICA (01) | FL |
205812 | AVMED (01) | FL |
2529 | DIMENSIONS (01) | FL |
4069055 | AETNA (01) | FL |
93504 | BCBS OF FL (01) | FL |
D60516 | (02) | FL |
P0003142 | FLORIDA HEALTHCARE PLUS (01) | FL |
P00731865 | RAIL ROAD MEDICARE (01) | FL |