Farghaly, Basant M

Farghaly, Basant M is an individual health care provider with primary practice located at 3100 Us Highway 1 S Ste 4 , St Augustine FL 32086-6310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Farghaly, Basant M can be contacted via phone (904) 810-8063.

Contact Information

Primary practice address
3100 Us Highway 1 S Ste 4 St Augustine FL 32086-6310
Phone: (904) 810-8063
Fax: (904) 621-9230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME97900 Florida

Profile Details

NPI number 1104945872
LBN Legal business name Farghaly, Basant M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Oct 4th, 2022 - about 4 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 1104945872 NPPES
Florida MEDICAID 278175100
Florida Other PW879

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