Provider Demographics
NPI:1073790333
Name:N.A.F.F.I. INC
Entity Type:Organization
Organization Name:N.A.F.F.I. INC
Other - Org Name:FOY'S MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:E
Authorized Official - Last Name:FAHIE
Authorized Official - Suffix:SR
Authorized Official - Credentials:DO
Authorized Official - Phone:954-202-9948
Mailing Address - Street 1:4600 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5206
Mailing Address - Country:US
Mailing Address - Phone:954-202-9948
Mailing Address - Fax:954-202-7399
Practice Address - Street 1:4600 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5206
Practice Address - Country:US
Practice Address - Phone:954-202-9948
Practice Address - Fax:954-202-7399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 0006925207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251207600Medicaid
G40908Medicare UPIN