MEDICARE: DR. WAEL FARID 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
1	207R00000X	Internal Medicine Physician	ME99885	FL
2	208M00000X	Hospitalist Physician	ME99885	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720205511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAEL FARID MD

Provider Business Mailing Address
First Line	:	PO BOX 16528
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32406-6528
Country	:	US
Telephone Number	:	850-640-3259
Fax Number	:	850-640-3262

Provider Business Practice Location Address
First Line	:	282 FOREST PARK CIR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4919
Country	:	US
Telephone Number	:	850-640-3259
Fax Number	:	850-640-3262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	11/12/2024

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