Farah Medical, LLC
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Sunny Isles Beach, FL
NPI 1982012787 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1982012787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- Legal business name
- FARAH MEDICAL, LLC
- Practice address
- 17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307 - Phone
- (305) 974-5933
- Fax
- (561) 282-3238
- NPI assigned
- Jul 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Maher M Nana, M.D
- Title
- Owner
- Phone
- (305) 974-5933
Practitioners 11
-
Sunil Ayyagari, MD
-
Jeremy Scott Bleicher, D.O., MPH
-
Oksana Buttita, D.P.M
-
Bashar Mohsen, MD
-
Maher Nana, MD
-
Olga Ratmansky, ARNP
-
Vyacheslav Makarov, D.P.M
-
Elizabeth Anne Elliott, PA-C
-
Jennie Brooks, P.A.-C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141113001915 | FL | Part B Supplier - Clinic/Group Practice | 1759503485 |
Receives reassigned benefits from 11 practitioners Practice locations: Aventura, FL; Lauderdale Lakes, FL; Sunny Isles Beach, FL |
National Provider Directory
Locations
1190 NW 95th St
Ste 303
Miami, FL 33150
Phone (305) 694-3111
240 174th St
Ste 108
Sunny Isles Beach, FL 33160
Phone (305) 974-5933
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | Yes | ||
| Foot & Ankle Surgery Podiatrist |
213ES0103X |
Addresses
Primary practice location
17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307
Mailing address
17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307
Phone (305) 974-5933
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All providers in Sunny Isles Beach, FL · Endocrinology, Diabetes & Metabolism Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.