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Jeanan Fares
Primary Care Clinic/Center in Coconut Creek, Florida
NPI 1538945597

Jeanan Fares is a Primary Care Clinic/Center based in Coconut Creek, FL and is specialized in Primary Care. Jeanan Fares practices in Coconut Creek, FL. The NPI Number for Jeanan Fares is 1538945597 and holds a License No. (Florida).

The current practice location address for Jeanan Fares is 7700 Nw 48Th Ave, Coconut Creek, FL and can be reached out via phone at 954-655-5268.

Location: 7700 Nw 48Th Ave, Coconut Creek, FL, 33073-3508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538945597
Provider Name
Jeanan Fares
Credential
Provider Entity Type
Individual
Gender
Female
Address
7700 Nw 48Th Ave, Coconut Creek, FL, 33073-3508
Phone Number
954-655-5268
Fax Number
Provider Enumeration Date
09/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7700 Nw 48Th Ave
City
Coconut Creek
State
Florida
Zip
33073-3508
Phone Number
954-655-5268
Fax Number
person
Provider Business Mailing Address Details
Address
7700 Nw 48Th Ave
City
Coconut Creek
State
Florida
Zip
33073-3508
Phone Number
954-655-5268
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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