Organization
FARIS J. FAKHOURY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIS J. FAKHOURY M.D. (PRESIDENT)
(561) 791-3070
Entity
Organization
Contact information
Practice address
10115 FOREST HILL BLVD, SUITE 405, WELLINGTON, FL 33414-3105
(561) 791-3070
(561) 791-3080
Mailing address
11101 S CROWN WAY, SUITE 1, WELLINGTON, FL 33414-8792
(561) 795-9150
(561) 798-7700
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME106083
FL
Other
Enumeration date
07/31/2012
Last updated
09/06/2012
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