Fagva LLC

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

FAGVA LLC

Practice address

1305 NE 4TH CT
Boca Raton, FL 33432-2811

Phone

(305) 615-9294

NPI assigned

Oct 1, 2025

Last updated

Oct 1, 2025By 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

Rustam Bakhatiiarov

Title

President

Phone

(305) 615-9294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1457225633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 NE 4TH CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322811",
            "telephone_number": "305-615-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 NE 4TH CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322811",
            "telephone_number": "305-615-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAGVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "BAKHATIIAROV",
        "authorized_official_first_name": "RUSTAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-615-9294"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Fabiani
• Angela Fabiano, OD
• Adrian J Fabrikant, L.M.H.C
• Wendy Fader, PHD
• Steven Fagien, M.D.
• Samer A Fahmy, M.D
• Derwin Gerod Fair Jr.
• Kathy M Fair, APRN
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• Driver in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.