# FARID ASSOUAD MD, P.A.

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

## Provider details

- **NPI number:** 1144622754
- **Authorized official:** DR. FARID ASSOUAD MD (PRESIDENT)
- **Authorized official phone:** (954) 224-5640

## Contact information

- **Practice address:** 18738 SW 47TH ST, MIRAMAR, FL 33029-6219
- **Practice address phone:** (954) 224-5640
- **Mailing address:** 18738 SW 47TH ST, MIRAMAR, FL 33029-6219
- **Mailing address phone:** (954) 224-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME98413 | FL | Yes |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 09/26/2014