Healthcare Provider Details

I. General information

NPI: 1528324555
Provider Name (Legal Business Name): MAHEEN FARIDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 MERIDIAN PKWY
WESTON FL
33331-3502
US

IV. Provider business mailing address

14315 NW 16TH CT
PEMBROKE PINES FL
33028-3001
US

V. Phone/Fax

Practice location:
  • Phone: 954-659-6038
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number128992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: