Farag, Estafan N.S.

Farag, Estafan N.S. is an individual health care provider with primary practice located at 2180 W 1St St Suite 202, Fort Myers FL 33901-3222. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Farag, Estafan N.S. can be contacted via phone (239) 332-8009.

Contact Information

Primary practice address
2180 W 1St St Suite 202 Fort Myers FL 33901-3222
Phone: (239) 332-8009
Fax: (239) 332-8009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 5839 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW5839 Florida

Profile Details

NPI number 1740320050
LBN Legal business name Farag, Estafan N.S.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 8th, 2022 - about 2 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 1740320050 NPPES
Florida MEDICAID 764547300

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