Healthcare Provider Details

I. General information

NPI: 1831008101
Provider Name (Legal Business Name): FADI EL-AKAWI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13200 SEMINOLE BLVD STE 204
LARGO FL
33778-2132
US

IV. Provider business mailing address

2040 GLASS LOOP APT 2212
CLEARWATER FL
33763-4044
US

V. Phone/Fax

Practice location:
  • Phone: 727-223-1435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN31819
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: