Individual
DR. ELIE FEGAHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 819-2966
(727) 819-2928
Mailing address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 819-2966
(727) 819-2928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME157865
FL
208M00000X
Hospitalist Physician
ME157865
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
10/06/2023
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