Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME0069963 | FL |
NPI | 1013002849 |
---|---|
Provider Name | Dr. Farid A. Hakim |
First Address | Jacksonville, FL 32216-8070 |
Second Address | Jacksonville, FL 32256-5003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 30/12/2015 |