Individual
DR. FAWZI FAWAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
962 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3372
(850) 951-8800
(850) 951-0203
Mailing address
962 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3372
(850) 951-8800
(850) 951-0203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME82523
FL
208600000X
Surgery Physician
ME82523
FL
Other
Enumeration date
10/24/2006
Last updated
03/23/2012
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