Fakhry, Mona F

Fakhry, Mona F is an individual health care provider with primary practice located at 10080 Sw Innovation Way Ste 201 , Port St Lucie FL 34987-2129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fakhry, Mona F can be contacted via phone (772) 344-3811.

Contact Information

Primary practice address
10080 Sw Innovation Way Ste 201 Port St Lucie FL 34987-2129
Phone: (772) 344-3811
Fax: (772) 344-3890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME84328 Florida

Profile Details

NPI number 1295796290
LBN Legal business name Fakhry, Mona F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Oct 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295796290 NPPES
Florida MEDICAID 267597800

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