Individual ProviderHala A FakhrePediatricsAllopathic & Osteopathic PhysiciansPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334(954) 424-7000PECOS EnrollmentBased on the most recent information from CMS, provider Hala A Fakhre does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1306834361Provider TypeIndividualFull NameFakhre, Hala ACredentialMDGenderFemaleSole ProprietorNoEnumeration Date10/12/2005Last Updated1/29/2025Contact InformationPractice LocationPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334Phone(954) 424-7000Fax(954) 424-6003Mailing LocationMailing Address900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923Phone(954) 424-7000Fax(954) 424-6003Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME93202FloridaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense67037ArizonaProvider IdentifiersIDDescriptionIssuerID022145900DescriptionMedicaidIssuerUnlistedFloridaID176651DescriptionMedicaidIssuerUnlistedArizona