Fady Asslo, MD
Internal Medicine, Gastroenterology in Port St Lucie, Florida
1659653723- Practice location
- 10080 SW Innovation Way, Port St Lucie, FL 34987-2127
- Phone
- 772-344-3811
- Fax
- —
- Last updated
- September 15, 2025
Fady Asslo is an Internal Medicine, Gastroenterology based in Port St Lucie, FL. Fady Asslo practices in Port St Lucie, FL and has the professional credentials of MD. The NPI Number for Fady Asslo is 1659653723 and holds a License No. MD20859 (ME). The current practice location address for Fady Asslo is 10080 SW Innovation Way, Port St Lucie, FL 34987-2127 and can be reached out via phone at 772-344-3811.
Provider Profile Details
- NPI Number
- 1659653723
- Provider Name
- Fady Asslo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10080 SW Innovation Way, Port St Lucie, FL 34987-2127
- Phone Number
- 772-344-3811
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 15, 2011
- Last Update Date
- September 15, 2025
- Certification Date
- September 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10080 SW Innovation Way
Port St Lucie, FL 34987-2127 - City
- Port St Lucie
- State
- Florida
- Zip
- 34987-2127
- Phone Number
- 772-344-3811
Provider Business Mailing Address Details
- Address
- 10080 SW Innovation Way
Port St Lucie, FL 34987-2127 - City
- Port St Lucie
- State
- FL
- Zip
- 34987-2127
- Phone Number
- 772-344-3811
License Information
- License Number (1)
- MD20859
- License State (1)
- ME
- Taxonomy (1)
- Internal Medicine, Gastroenterology · 207RG0100X
- License Number (2)
- ME173700
- License State (2)
- FL
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
- License Number (3)
- 042.0017587
- License State (3)
- VT
- Taxonomy (3)
- Internal Medicine, Gastroenterology · 207RG0100X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fady Asslo, MD?
The NPI number of Fady Asslo, MD is 1659653723. It was assigned on September 15, 2011 and is currently active in the NPPES registry.
What is the specialty of Fady Asslo, MD?
Fady Asslo, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in ME under license number MD20859.
Where does Fady Asslo, MD practice?
The practice location is 10080 SW Innovation Way, Port St Lucie, FL 34987-2127. The office can be reached at 772-344-3811 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659653723 directly on the NPPES registry website.