Organization
FASTMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAN N SIDDIQI MD (PRESIDENT)
(727) 807-2476
Entity
Organization
Contact information
Practice address
11319 CORTEZ BLVD, BROOKSVILLE, FL 34613-5407
(352) 556-2524
(352) 597-2243
Mailing address
11319 CORTEZ BLVD, BROOKSVILLE, FL 34613-5407
(352) 556-2524
(352) 597-2243
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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