Individual ProviderFareeha HussainiFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address13330 Usf Laurel Dr, Tampa, FL 33612(813) 974-2201PECOS EnrollmentBased on the most recent information from CMS, provider Fareeha Hussaini is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033538640Provider TypeIndividualFull NameHussaini, FareehaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/10/2014Last Updated3/22/2021Contact InformationPractice LocationPractice Address13330 Usf Laurel Dr, Tampa, FL 33612Phone(813) 974-2201FaxUnlisted FaxMailing LocationMailing AddressPO Box 917770, Orlando, FL 32891-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME130402FloridaProvider IdentifiersIDDescriptionIssuerIDJN093DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFloridaID024344600DescriptionMedicaidIssuerUnlistedFlorida