Organization
DR RIADH A FAKHOURY DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIADH A FAKHOURY DC (OWNER)
(352) 351-3413
Entity
Organization
Contact information
Practice address
1009 SW 17TH ST, OCALA, FL 34471-1229
(352) 351-3413
(352) 629-6667
Mailing address
1009 SW 17TH ST, OCALA, FL 34471
(352) 351-3413
(352) 629-6667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350039676
RAILROAD MEDICARE
FL
Enumeration date
09/26/2007
Last updated
05/28/2008
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