Organization
TRUDI FAHEY, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUDI FAHEY M.D. (PRESIDENT)
(954) 467-2013
Entity
Organization
Contact information
Practice address
1625 SE 3RD AVE, SUITE 701, FT LAUDERDALE, FL 33316-2521
(954) 467-2013
(954) 355-4390
Mailing address
1625 SE 3RD AVE, SUITE 701, FT LAUDERDALE, FL 33316-2521
(954) 467-2013
(954) 355-4390
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME95169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME95169
MEDICAL LICENSE
FL
Enumeration date
07/15/2006
Last updated
08/22/2020
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