| NPI | 1073718664 |
|---|---|
| Doing Business As | FAWAZ MEDICAL & SURGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONNA WARD Office Manager 850-951-4638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 3024682) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |