Fakhoury, MD, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME106083 Issued in FL

Legal business name

FAKHOURY, MD, LLC

Practice address

1447 Medical Park Blvd
Suite 101
Wellington, FL 33414-3164

Phone

(561) 791-1836

NPI assigned

Jan 10, 2011

Last updated

Jan 10, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Faris J Fakhoury

Title

Sole Member

Phone

(561) 791-1836

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1437453180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD",
            "address_2": "SUITE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143164",
            "telephone_number": "561-791-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD",
            "address_2": "SUITE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143164",
            "telephone_number": "561-791-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAKHOURY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "FARIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "561-791-1836",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME106083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evernorth Direct Health LLC
• Stael Exantus, RMHCI- CRC
• Eye & Ear of Wellington LLC
• Graham Eyeington
• Faris J. Fakhoury, MD
• Richard Falcha
• Samuel Falzone, M.D.
• Family First Community Outreach Services
• Family Medical and Wellness Center, LLC
• Family Nurse Practitioner House Calls of Palm Beach County Inc

• Neurological Surgery Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.