Fahy, Brenda Geraldine
Fahy, Brenda Geraldine is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Fahy, Brenda Geraldine can be contacted via phone (352) 273-8610.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-3003
Phone: (352) 273-8610
Fax: (352) 273-8612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 37397 | Kentucky |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 37397 | Kentucky |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | ME111288 | Florida |
Profile Details
| NPI number | 1467568469 |
|---|---|
| LBN Legal business name | Fahy, Brenda Geraldine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jan 3rd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467568469 | NPPES |
| Florida | MEDICAID | 004299900 |
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