# FARHAN SIDDIQI, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003672700
- **Authorized official:** FARHAN N SIDDIQI MD (PRESIDENT)
- **Authorized official phone:** (727) 807-2476

## Contact information

- **Practice address:** 2309 CREST OVER LN, WESLEY CHAPEL, FL 33544
- **Practice address phone:** (727) 807-2476
- **Mailing address:** 11319 CORTEZ BLVD, BROOKSVILLE, FL 34613
- **Mailing address phone:** (352) 597-0907
- **Mailing address fax:** (352) 597-2243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024