Active NPI
Fastmd LLC
- Orthopaedic Surgery of the Spine Physician
- Brooksville, FL
National Provider Identifier
1841908563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- FASTMD LLC
- Practice address
- 11319 Cortez Blvd
Brooksville, FL 34613-5407 - Phone
- (352) 556-2524
- Fax
- (352) 597-2243
- NPI assigned
- Nov 10, 2022
- 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
- Farhan N Siddiqi, MD
- Title
- President
- Phone
- (727) 807-2476
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X |
Addresses
Primary practice location
11319 Cortez Blvd
Brooksville, FL 34613-5407
Mailing address
11319 Cortez Blvd
Brooksville, FL 34613-5407
Phone (352) 556-2524
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.fastmd.com/contact-us/ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1841908563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11319 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135407",
"telephone_number": "352-556-2524",
"fax_number": "352-597-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11319 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135407",
"telephone_number": "352-556-2524",
"fax_number": "352-597-2243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FASTMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A",
"authorized_official_last_name": "SIDDIQI",
"authorized_official_first_name": "FARHAN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-807-2476",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.fastmd.com/contact-us/",
"affiliation": "N",
"address_1": "11319 Cortez Blvd",
"city": "Brooksville",
"state": "FL",
"country_code": "US",
"postal_code": "346135407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.