Farhat, Jawad Samir

Farhat, Jawad Samir is an individual health care provider with primary practice located at 1301 Plantation Island Drive Suite 106A, Saint Augustine FL 32080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Farhat, Jawad Samir can be contacted via phone (904) 460-9191.

Contact Information

Primary practice address
1301 Plantation Island Drive Suite 106A Saint Augustine FL 32080
Phone: (904) 460-9191
Fax: (904) 471-4859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME74226 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME74226 Florida

Profile Details

NPI number 1114034709
LBN Legal business name Farhat, Jawad Samir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated May 15th, 2024 - about last year

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 1114034709 NPPES
Florida MEDICAID 256431900

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