| Fawzi Souheil Farha, MD | |
|
206 Ashourian Ave Ste 213, Saint Augustine, FL 32092-5107 | |
| (904) 990-0777 | |
| (888) 464-0609 |
| Full Name | Fawzi Souheil Farha |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 21 Years |
| Location | 206 Ashourian Ave Ste 213, Saint Augustine, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477532463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | I40882 (Florida) | Secondary |
| 208600000X | Surgery | ME92741 (Florida) | Primary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | First Coast Surgical Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548249543 PECOS PAC ID: 5395779359 Enrollment ID: O20070109000450 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
| Entity Name | Fawzi Farha Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912599515 PECOS PAC ID: 2860809266 Enrollment ID: O20210331002817 |
| Mailing Address | Practice Location Address |
|---|---|
| Fawzi Souheil Farha, MD 206 Ashourian Ave Ste 213, Saint Augustine, FL 32092-5107 Ph: (904) 990-0777 | Fawzi Souheil Farha, MD 206 Ashourian Ave Ste 213, Saint Augustine, FL 32092-5107 Ph: (904) 990-0777 |
Dr. Jeremy Alan Caudill, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2460 Old Moultrie Rd Ste 3, Saint Augustine, FL 32086 Phone: 904-797-6627 Fax: 386-328-4125 |