Provider Demographics
NPI:1366765695
Name:MAGDY FALESTINY LLC
Entity type:Organization
Organization Name:MAGDY FALESTINY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FALESTINY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-751-0890
Mailing Address - Street 1:929 N US HIGHWAY 441
Mailing Address - Street 2:STE 503
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-3001
Mailing Address - Country:US
Mailing Address - Phone:352-751-0890
Mailing Address - Fax:352-751-2634
Practice Address - Street 1:929 N US HIGHWAY 441
Practice Address - Street 2:STE 503
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-3001
Practice Address - Country:US
Practice Address - Phone:352-751-0890
Practice Address - Fax:352-751-2634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty