Individual
DR. FARHAT SELIM KHAIRALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 CENTERVILLE RD, TALLAHASSEE, FL 32308-4379
(850) 216-0100
(850) 216-0138
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 216-0138
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME90702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
SOUTHCARE
FL
01
—
00000
BEECH ST/CAPP CARE
GA
05
—
009977225
—
AL
05
—
297944900
—
FL
01
—
SC075814
IVSTA
FL
Enumeration date
07/20/2005
Last updated
07/05/2024
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