Organization Active NPI

Fawaz Alfarra M D P a

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1730383464
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0070217 Issued in FL
Legal business name
FAWAZ ALFARRA M D P A
Practice address
2901 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4146
Phone
(954) 753-3355
Fax
(954) 345-0487
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Dr. Fawaz Alfarra, MDNPI 1598791782
Title
Owner
Phone
(954) 753-3355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0070217 FL Primary

Addresses

Primary practice location

2901 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4146

Mailing address

2901 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4146
Phone (954) 753-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000083 FL Part B Supplier - Clinic/Group Practice 8921180019 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

2901 Coral Hills Dr
Ste 320
Coral Springs, FL 33065
Phone (954) 753-3355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1730383464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DR",
            "address_2": "SUITE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654146",
            "telephone_number": "954-753-3355",
            "fax_number": "954-345-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DR",
            "address_2": "SUITE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654146",
            "telephone_number": "954-753-3355",
            "fax_number": "954-345-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWAZ ALFARRA M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "ALFARRA",
        "authorized_official_first_name": "FAWAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-753-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0070217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.