Healthcare Provider Details

I. General information

NPI: 1679477319
Provider Name (Legal Business Name): FOCALIZE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S GLORIA ST
CLEWISTON FL
33440-3505
US

IV. Provider business mailing address

817 S UNIVERSITY DR STE 106
PLANTATION FL
33324-3345
US

V. Phone/Fax

Practice location:
  • Phone: 954-536-9948
  • Fax:
Mailing address:
  • Phone: 954-536-9948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: FAIZ FATTEH
Title or Position: VP
Credential: MD
Phone: 954-536-9948