Organization
FAWAZ MEDICAL & SURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON S FAWAZ DO (DO)
(850) 951-4638
Entity
Organization
Contact information
Practice address
4417 US HWY 331 S, DEFUNIAK SPGS, FL 32435-6703
(850) 951-4638
(850) 951-4554
Mailing address
PO BOX 75, DEFUNIAK SPGS, FL 32435-0075
(850) 951-4638
(850) 951-4554
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
OS8303
FL
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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