Individual
F DEAN FAGHIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13525 BAY LAKE LANE, TAMPA, FL 33618
(813) 956-3388
Mailing address
PO BOX 272688, TAMPA, FL 33688
(813) 956-3388
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
48145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048531400
—
FL
Enumeration date
08/18/2006
Last updated
09/05/2017
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