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NPI Code Detail

MEDICARE: FERAS TALHA HARES MD

MEDICARE: FERAS TALHA HARES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0203XPediatric Critical Care Medicine PhysicianA183394CA
22080P0203XPediatric Critical Care Medicine PhysicianME174682FL

General Provider Information

NPI Number : 1477013811
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERAS TALHA HARES MD
Provider Business Mailing Address
First Line : 900 HOPE WAY
Second Line : MANAGED CARE
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-1502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-975-0410
Fax Number : 407-975-0411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2019
Last Update Date : 06/02/2026

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