Individual provider · NPI-1

Fawaz Haroon Abass, APRN, AGNP-C

Nurse Practitioner · Orlando, FL

NPI number1184336869
StatusActive
Last updated in NPPESApr 7, 2023

Details

NPI
1184336869
Entity type
Individual (NPI-1)
Name
Fawaz Haroon Abass
Credential
APRN, AGNP-C
Sex
Male
Sole proprietor
No
Enumeration date
Dec 14, 2022
Certification date
Apr 7, 2023
Last updated
Apr 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN11023458FLYes
363L00000X Nurse Practitioner11023458FL

Practice location

1613 N Mills Ave
Orlando, FL 32803-1849

Phone 407-894-4474 · Fax 407-894-7136

Mailing address

12486 Stone Bark Trl
Orlando, FL 32824-7373

Phone 407-271-1355

Other practice locations

12486 Stone Bark Trl
Orlando, FL 32824-7373

Phone 407-271-1355

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