Healthcare Provider Details

I. General information

NPI: 1427995489
Provider Name (Legal Business Name): AL FARJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3404 DAVIE RD APT 3-507
DAVIE FL
33314-1626
US

IV. Provider business mailing address

3404 DAVIE RD APT 3-507
DAVIE FL
33314-1626
US

V. Phone/Fax

Practice location:
  • Phone: 209-813-2418
  • Fax: 209-813-2418
Mailing address:
  • Phone: 209-813-2418
  • Fax: 209-813-2418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: AGHA MIRZA
Title or Position: CEO
Credential:
Phone: 209-813-2418