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NPI Code Detail

MEDICARE: DR. FARZANNA SHERENE HAFFIZULLA M.D.

MEDICARE:  DR. FARZANNA SHERENE HAFFIZULLA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0086693FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275605321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARZANNA SHERENE HAFFIZULLA M.D.
Provider Business Mailing Address
First Line : 12555 ORANGE DR
Second Line : SUITE 257
City : DAVIE
State : FL
Zip : 33330-4304
Country : US
Telephone Number : 954-862-1778
Fax Number : 954-862-1779
Provider Business Practice Location Address
First Line : 12555 ORANGE DR
Second Line : SUITE 257
City : DAVIE
State : FL
Zip : 33330-4304
Country : US
Telephone Number : 954-862-1778
Fax Number : 954-862-1779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 03/31/2021

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Directions to “ DR. FARZANNA SHERENE HAFFIZULLA M.D.” Practice Location

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