Individual
TERESA A FAXAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10000 W SAMPLE RD, CORAL SPRINGS, FL 33065-3936
(954) 346-8800
Mailing address
10000 W SAMPLE RD, CORAL SPRINGS, FL 33065-3936
(954) 346-8800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME60817
FL
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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