Organization
ALL AGES PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED AL-FARAWI MD (OWNER)
(407) 496-8095
Entity
Organization
Contact information
Practice address
2910 HOSPITAL DR, BONIFAY, FL 32425-4268
(850) 547-8158
(850) 547-8090
Mailing address
2717 TALON CT, PANAMA CITY, FL 32405-6672
(407) 496-8095
(850) 547-8090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/22/2020
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