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FAWAZ MEDICAL AND SURGICAL CLINIC, LLC
NPI 1801207626
Clinic/Center - Multi-Specialty in Defuniak Springs, FL

Active since May 14, 2014
962 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435(850) 951-8800 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fawaz Medical And Surgical Clinic, Llc NPPES

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

FAWAZ MEDICAL AND SURGICAL CLINIC, LLC (NPI 1801207626) is a healthcare organization registered as a multi-specialty in Defuniak Springs, Florida and active in the NPI registry since May 2014. The organization lists Janna Mauldin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1801207626
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFAWAZ MEDICAL AND SURGICAL CLINIC, LLC
Location Address962 US HIGHWAY 331 SDefuniak Springs, FL 32435-3372
Mailing Address962 Us Highway 331 SDefuniak Springs, FL 32435-3372 · (850) 951-8800
Phone(850) 951-8800
Organization SubpartNo
Authorized OfficialJanna MauldinOffice Manager · (850) 951-8800
Enumeration DateMay 14, 2014
✔ NPI 1801207626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in ZZ · ME82523
962 US HIGHWAY 331 S, Defuniak Springs, FL 32435
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Other Identifiers 1

Medicare UPINE64361FL

Other Providers at the Same Location NPPES

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

DR. FAWZI FAWAZ M. D.
Family Medicine
962 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 951-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fawaz Medical And Surgical Clinic, LLC's NPI number?

The NPI number for Fawaz Medical And Surgical Clinic, LLC is 1801207626. It was assigned to this organization in the NPPES registry on May 14, 2014.

Where is Fawaz Medical And Surgical Clinic, LLC located?

Fawaz Medical And Surgical Clinic, LLC is located at 962 Us Highway 331 S, Defuniak Springs, FL 32435. The listed phone number is (850) 951-8800.

What is Fawaz Medical And Surgical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Fawaz Medical And Surgical Clinic, LLC was last updated on May 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.