Organization
FAKHOURY, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIS J FAKHOURY (SOLE MEMBER)
(561) 791-1836
Entity
Organization
Contact information
Practice address
1447 MEDICAL PARK BLVD, SUITE 101, WELLINGTON, FL 33414-3164
(561) 791-1836
Mailing address
1447 MEDICAL PARK BLVD, SUITE 101, WELLINGTON, FL 33414-3164
(561) 791-1836
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME106083
FL
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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