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NPI Code Detail

MEDICARE: FAIR HEALTH CARE LLC

MEDICARE: FAIR HEALTH CARE 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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1023956497
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIR HEALTH CARE LLC
Provider Business Mailing Address
First Line : 20756 GREAT LAUREL AVE
Second Line :
City : TAMPA
State : FL
Zip : 33647-3275
Country : US
Telephone Number : 929-503-0566
Fax Number : 929-503-0566
Provider Business Practice Location Address
First Line : 20756 GREAT LAUREL AVE
Second Line :
City : TAMPA
State : FL
Zip : 33647-3275
Country : US
Telephone Number : 929-503-0566
Fax Number : 929-503-0566
Authorized Official
Title or Position : OWNER
Name : MOHAMMAD A DWARY
Credential : MD
Telephone Number : 929-503-0566
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “FAIR HEALTH CARE LLC ” Practice Location

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