MEDICARE: FAY'S WORLD LLC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1447140512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAY'S WORLD LLC

Provider Business Mailing Address
First Line	:	15000 NE 7TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33161-2224
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 E COMMERCIAL BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4034
Country	:	US
Telephone Number	:	786-519-1788
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	TERESA ALBERNAS
Credential	:
Telephone Number	:	305-467-8584

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	07/08/2025

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Directions to “FAY'S WORLD LLC ” Practice Location

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