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Contact Information

BRENDA G FAHY, MD
1600 SW ARCHER RD
GAINESVILLE, FL32610-3003
 Phone: 352-273-8610
 Fax: 352-273-8612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BRENDA G FAHY · (Female)

NPI # 1467568469
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 01/03/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME111288
  • KY License # 37397
  • FL Medicaid 004299900
Hospital affiliation(s)
  • SHANDS HOSPITAL AT THE UNIVERSITY OF FLORIDA - (Acute Care)
    1600 SW ARCHER RD
    GAINESVILLE, FL 32610
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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