Provider Demographics
NPI:1982688859
Name:FAKHRE, GAMAL PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:GAMAL
Middle Name:PETER
Last Name:FAKHRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2541 WINDGUARD CIR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7349
Mailing Address - Country:US
Mailing Address - Phone:813-600-3400
Mailing Address - Fax:813-600-2900
Practice Address - Street 1:2541 WINDGUARD CIR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7349
Practice Address - Country:US
Practice Address - Phone:813-600-3400
Practice Address - Fax:813-600-2900
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91093208600000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery