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:
Health care specialties
Specialty | Code | License # | 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 4 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114034709 | NPPES |
Florida | MEDICAID | 256431900 |
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