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1104945872
BASANT M FARGHALY
ST AUGUSTINE, FL
NPI
1104945872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME97900)
Enumeration Date
2007-03-27
Last Update Date
2022-10-04
Business Address
BASANT M FARGHALY M.D.
3100 US HIGHWAY 1 S STE 4
ST AUGUSTINE, FL 32086-6310
Phone number: 904-810-8063
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Mailing Address
BASANT M FARGHALY M.D.
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 904-810-8063
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