# TRUDI FAHEY, M.D., P.A.

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

## Provider details

- **NPI number:** 1710903372
- **Authorized official:** DR. TRUDI FAHEY M.D. (PRESIDENT)
- **Authorized official phone:** (954) 467-2013

## Contact information

- **Practice address:** 1625 SE 3RD AVE, SUITE 701, FT LAUDERDALE, FL 33316-2521
- **Practice address phone:** (954) 467-2013
- **Practice address fax:** (954) 355-4390
- **Mailing address:** 1625 SE 3RD AVE, SUITE 701, FT LAUDERDALE, FL 33316-2521
- **Mailing address phone:** (954) 467-2013
- **Mailing address fax:** (954) 355-4390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME95169 | FL | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ME95169 | MEDICAL LICENSE | FL |