Individual
FRANCIS FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Mailing address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0068299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060047063
RRR
FL
01
—
0729858
CIGNA
FL
01
—
14309
FHHS
FL
01
—
205192
AVMED
FL
01
—
26919
BCBS
FL
01
—
5691364
AETNA
FL
Enumeration date
06/28/2005
Last updated
07/15/2010
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