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General NPI Number Information
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NPI Number | 1376575043
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Entity Type | Individual
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Provider Name | BISHARA M. FARIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7305 N MILITARY TRL
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City | RIVIERA BEACH
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State | FL
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Zip | 33410-7417
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Country | US
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Telephone | 561-422-8729
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Fax |
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Provider Business Mailing Address
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Address Line | 806 E WINDWARD WAY UNIT 114, BLDG. 3
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City | LANTANA
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State | FL
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Zip | 33462-8011
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101027354
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 10942
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License Number State | WV
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