Individual
FAWZI SOUHEIL FARHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 ASHOURIAN AVE STE 213, SAINT AUGUSTINE, FL 32092-5107
(904) 990-0777
(888) 464-0609
Mailing address
206 ASHOURIAN AVE STE 213, SAINT AUGUSTINE, FL 32092-5107
(904) 990-0777
(888) 464-0609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
I40882
FL
208600000X
Surgery Physician
Primary
ME92741
FL
Other
Enumeration date
01/10/2006
Last updated
11/07/2024
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