Provider Demographics
NPI:1285163642
Name:FAHS, ABRAHIM (DO)
Entity type:Individual
Prefix:
First Name:ABRAHIM
Middle Name:
Last Name:FAHS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:786-697-3549
Mailing Address - Fax:865-381-1572
Practice Address - Street 1:485 S RONALD REAGAN BLVD
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5408
Practice Address - Country:US
Practice Address - Phone:407-834-4849
Practice Address - Fax:407-834-4905
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2025-06-25
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Provider Licenses
StateLicense IDTaxonomies
FLOS16977207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine