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Organization

FARGHALY MEDICAL, PLLC

Active
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Organization

FARGHALY MEDICAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA BURNSIDE (OFFICE MANAGER)
(904) 826-7932
Entity
Organization

Contact information

Practice address
100 WHETSTONE PL, SUITE 208, ST AUGUSTINE, FL 32086-5774
(904) 826-7932
(904) 819-6700
Mailing address
100 WHETSTONE PL, SUITE 208, ST AUGUSTINE, FL 32086-5774
(904) 826-7932
(904) 819-6700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME97900
FL

Other

Enumeration date
11/11/2014
Last updated
11/11/2014
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