Individual
FADY ASSLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10080 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2127
(772) 344-3811
Mailing address
10080 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2127
(772) 344-3811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
042.0017587
VT
207RG0100X
Gastroenterology Physician
MD20859
ME
207RG0100X
Gastroenterology Physician
Primary
ME173700
FL
Other
Enumeration date
09/15/2011
Last updated
09/15/2025
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