Jaafar, Fatan
Jaafar, Fatan is an sole proprietor health care provider with primary practice located at 340 N Wymore Rd Ste B , Winter Park FL 32789-2823. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jaafar, Fatan can be contacted via phone (407) 613-2473.Contact Information
Primary practice address
340 N Wymore Rd Ste B
Winter Park FL 32789-2823
Phone: (407) 613-2473
Fax: (407) 613-2474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME110851 | Florida |
Profile Details
| NPI number | 1215188743 |
|---|---|
| LBN Legal business name | Jaafar, Fatan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2008 |
| Last updated | Mar 11th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215188743 | NPPES |
| Florida | MEDICAID | 005523100 | |
| Florida | Other | PENDING |
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