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1922016351

NPI Code Detail

MEDICARE: HASSAN FARHAT MD

MEDICARE: HASSAN FARHAT MD

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	C10006007	DE
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	D42603	MD
3	207R00000X	Internal Medicine Physician	ME82249	FL
4	207P00000X	Emergency Medicine Physician	ME82249	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922016351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HASSAN FARHAT MD

Provider Business Mailing Address
First Line	:	PO BOX 100186
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0186
Country	:	US
Telephone Number	:	352-265-5911
Fax Number	:	352-265-5606

Provider Business Practice Location Address
First Line	:	17021 US HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6734
Country	:	US
Telephone Number	:	352-720-7999
Fax Number	:

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	02/07/2025

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Directions to “ HASSAN FARHAT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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