Healthcare Provider Details

I. General information

NPI: 1669032652
Provider Name (Legal Business Name): FARAZ BADAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1834 SW 1ST AVE STE 101
OCALA FL
34471-8101
US

IV. Provider business mailing address

1834 SW 1ST AVE STE 101
OCALA FL
34471-8101
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-5552
  • Fax:
Mailing address:
  • Phone: 352-732-5552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME178175
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: