Organization
FARID ASSOUAD MD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID ASSOUAD MD (PRESIDENT)
(954) 224-5640
Entity
Organization
Contact information
Practice address
18738 SW 47TH ST, MIRAMAR, FL 33029-6219
(954) 224-5640
Mailing address
18738 SW 47TH ST, MIRAMAR, FL 33029-6219
(954) 224-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME98413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278681800
—
FL
Enumeration date
09/25/2014
Last updated
09/26/2014
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