Provider Demographics
NPI:1871913269
Name:FAUGHT, RYAN WF (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:WF
Last Name:FAUGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1608 SE 3RD AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2564
Mailing Address - Country:US
Mailing Address - Phone:954-463-3131
Mailing Address - Fax:954-888-3731
Practice Address - Street 1:1625 SE 3RD AVE STE 610
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2521
Practice Address - Country:US
Practice Address - Phone:954-463-3131
Practice Address - Fax:954-888-3731
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME169764208600000X
VA0101272870208600000X
DCMD9911308208600000X
NY299760208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery