# FAWAZ ALFARRA M D P A

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

## Provider details

- **NPI number:** 1730383464
- **Authorized official:** DR. FAWAZ ALFARRA MD (OWNER)
- **Authorized official phone:** (954) 753-3355

## Contact information

- **Practice address:** 2901 CORAL HILLS DR, SUITE 320, CORAL SPRINGS, FL 33065-4146
- **Practice address phone:** (954) 753-3355
- **Practice address fax:** (954) 345-0487
- **Mailing address:** 2901 CORAL HILLS DR, SUITE 320, CORAL SPRINGS, FL 33065-4146
- **Mailing address phone:** (954) 753-3355
- **Mailing address fax:** (954) 345-0487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME0070217 | FL | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 03/19/2008
