Active NPI
Fawaz Alfarra M D P a
- Internal Medicine Physician
- Coral Springs, FL
National Provider Identifier
1730383464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0070217
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fawaz Alfarra, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Coral Springs, FL
- NPI 1598791782
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.