Organization
FLORIDA PULMONARY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAISAL A FAKIH MD (PRESIDENT)
(407) 740-5447
Entity
Organization
Contact information
Practice address
1788 W FAIRBANKS AVE, STE A, WINTER PARK, FL 32789-4681
(407) 740-5447
(407) 740-5532
Mailing address
1788 W FAIRBANKS AVE, STE A, WINTER PARK, FL 32789-4681
(407) 740-5447
(407) 740-5532
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0034351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290002724
RAILROAD MEDICARE B
FL
05
—
370289800
—
FL
Enumeration date
09/14/2005
Last updated
12/10/2012
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