Provider Demographics
NPI:1558678383
Name:HAQ, FARWAH (OD)
Entity Type:Individual
Prefix:DR
First Name:FARWAH
Middle Name:
Last Name:HAQ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11865 SW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-2400
Mailing Address - Country:US
Mailing Address - Phone:305-552-9100
Mailing Address - Fax:305-552-1996
Practice Address - Street 1:2900 W CYPRESS CREEK RD
Practice Address - Street 2:SUITE 4
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1715
Practice Address - Country:US
Practice Address - Phone:954-979-2191
Practice Address - Fax:954-979-8988
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4560152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist