Organization
FAIRBANKS PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASHA JOHNSON (CREDENTIALING SPECIALIST)
(407) 975-0200
Entity
Organization
Contact information
Practice address
400 CELEBRATION PL STE A360, CELEBRATION, FL 34747-4970
(407) 975-0200
(407) 975-0209
Mailing address
265 E ROLLINS ST STE 12000, ORLANDO, FL 32804-5571
(407) 975-0200
(407) 975-0209
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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