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Individual

DR. ALEXANDER A FARAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
836 PRUDENTIAL DR STE 1601, JACKSONVILLE, FL 32207-8343
(904) 396-8060
(904) 390-7385
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35126041
OH
207Y00000X
Otolaryngology Physician
Primary
ME148780
FL

Other

Enumeration date
06/18/2009
Last updated
08/25/2023
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