Active NPI
Fawzi Farha MD Inc
Doing business as One Vein Clinic
- Surgery Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- FAWZI FARHA MD INC
- Doing business as
- One Vein Clinic
One Vein Clinic & Med Spa - Practice address
- 206 Ashourian Ave Ste 213
Saint Augustine, FL 32092-5107 - Phone
- (904) 990-0777
- Fax
- (888) 464-0609
- NPI assigned
- Feb 5, 2021
- Last updated
- May 12, 2026
- 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
- Fawzi S Farha, MD
- Title
- Owner
- Phone
- (904) 990-0777
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
206 Ashourian Ave Ste 213
Saint Augustine, FL 32092-5107
Mailing address
206 Ashourian Ave Ste 213
Saint Augustine, FL 32092-5107
Phone (904) 990-0777
Other practice location 1
6206 Atlantic Blvd
Jacksonville, FL 32211-7560
Phone (904) 990-0777
Other names 2
- ONE VEIN CLINIC
- One Vein Clinic & Med Spa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6206 Atlantic Blvd
Jacksonville, FL 32211
Phone (904) 990-0777
206 Ashourian Ave
Ste 213
St Augustine, FL 32092
Phone (904) 990-0777
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHGECD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- St Augustine, FL
- NPI 1477532463
-
- Surgery Physician
- Jacksonville, FL
- NPI 1053390047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1912599515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 ASHOURIAN AVE STE 213",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320925107",
"telephone_number": "904-990-0777",
"fax_number": "888-464-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 ASHOURIAN AVE STE 213",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320925107",
"telephone_number": "904-990-0777",
"fax_number": "888-464-0609"
}
],
"practiceLocations": [
{
"address_1": "6206 Atlantic Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322117560",
"country_code": "US",
"telephone_number": "904-990-0777",
"fax_number": "888-464-0609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAWZI FARHA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-05",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "FARHA",
"authorized_official_first_name": "FAWZI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-990-0777",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ONE VEIN CLINIC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ONE VEIN CLINIC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "One Vein Clinic & Med Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.