Provider Demographics
NPI:1497325864
Name:FARUQUI, NAJMUS SAQUIB (CPO, CPED)
Entity Type:Individual
Prefix:MR
First Name:NAJMUS
Middle Name:SAQUIB
Last Name:FARUQUI
Suffix:
Gender:M
Credentials:CPO, CPED
Other - Prefix:MR
Other - First Name:NAJMUS
Other - Middle Name:S
Other - Last Name:FARUQUI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPO, CPED
Mailing Address - Street 1:PO BOX 268084
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-8084
Mailing Address - Country:US
Mailing Address - Phone:954-448-1640
Mailing Address - Fax:
Practice Address - Street 1:10200 W STATE ROAD 84 STE 220
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-4220
Practice Address - Country:US
Practice Address - Phone:954-448-1640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLS62333332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies