MEDICARE: FAITH FINOLI DO

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
1	207Q00000X	Family Medicine Physician	UO6273	FL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207Q00000X	Family Medicine Physician	OS16273	FL

General Provider Information

NPI Number	:	1184119216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAITH FINOLI DO

Provider Business Mailing Address
First Line	:	350 E LAS OLAS BLVD STE 110
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-4214
Country	:	US
Telephone Number	:	954-765-3005
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 E LAS OLAS BLVD STE 110
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-4214
Country	:	US
Telephone Number	:	954-765-3005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2018
Last Update Date	:	05/02/2025

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Directions to “ FAITH FINOLI DO” Practice Location

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