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NPI Code Detail

MEDICARE: DR. FARIS NABEEH MAROON MATANES MBBS

MEDICARE: DR. FARIS NABEEH MAROON MATANES MBBS
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
1207R00000XInternal Medicine Physician337664LA

General Provider Information

NPI Number : 1508493479
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARIS NABEEH MAROON MATANES MBBS
Provider Business Mailing Address
First Line : 720 W OAK ST STE 201
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4998
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 720 W OAK ST STE 201
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4998
Country : US
Telephone Number : 321-697-1730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 03/17/2026

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