Provider Demographics
NPI:1770562936
Name:FABER, JOANA A (MD)
Entity type:Individual
Prefix:
First Name:JOANA
Middle Name:A
Last Name:FABER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOANA
Other - Middle Name:A
Other - Last Name:ALMEIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 SEASIDE LN APT 604
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-1988
Mailing Address - Country:US
Mailing Address - Phone:859-221-0370
Mailing Address - Fax:
Practice Address - Street 1:6201 N SUNCOAST BLVD
Practice Address - Street 2:SEVEN RIVERS MED CENTER - PATHOLOGY DEPT
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428-6712
Practice Address - Country:US
Practice Address - Phone:352-795-8372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2014-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100427207ZP0102X
CAC53040207ZP0102X
TXK5087207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000355713OtherBCBS
OH2398427Medicaid
KY64003098Medicaid
WV2004992-000Medicaid
KY220033051OtherTRAVELERS
KY50003208OtherPASSPORT - MCD HMO
KYG70716Medicare UPIN
KY000000355713OtherBCBS