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Individual

FADI ELIA RAHHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
821 OAKLEY SEAVER DR, CLERMONT, FL 34711-1968
(352) 242-1665
(352) 243-1649
Mailing address
2040 OAKLEY SEAVER DR, CLERMONT, FL 34711-1962
(352) 242-1665
(352) 243-1649

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 121905
FL
208D00000X
General Practice Physician
058493
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019683900
FL
Enumeration date
04/17/2007
Last updated
12/01/2022
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