TAMARA RITA FAKHOURY DO
NPI 1063271617
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Q: What is Tamara Rita Fakhoury's NPI number?

The NPI number for Tamara Rita Fakhoury is 1063271617. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Tamara Rita Fakhoury's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 18, 2024PECOS Enrolled

2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 639-8500 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Tamara Rita Fakhoury Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA RITA FAKHOURY DO (NPI 1063271617) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063271617

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTAMARA RITA FAKHOURYCredential: DO

Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148

Mailing Address2001 Kingsley AveOrange Park, FL 32073-5148 · (904) 639-8500

Phone(904) 639-8500

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 16, 2024

✔ NPI 1063271617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2001 KINGSLEY AVE, Orange Park, FL 32073

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Rita Fakhoury Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FORREST KING M.D.

Emergency Medicine