Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dale E Fahie, DOFACOFP

Individual provider Family Medicine Physician · NPI 1619921962

Dr. Dale E Fahie, DOFACOFP is a Family Practice in Fort Lauderdale, Florida. Qualified in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
Licensed in
FL
In the registry since
2006
Specialties on file
4

Practice location Address checks out

4600 N Federal Highway Foy's Medical Ctr
Fort Lauderdale, FL 33308-5206
Phone: (954) 202-9948
Fax: (954) 202-7399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS-06925 (FL)
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X · Licence OS-6925 (FL)
Adult Medicine Physician Taxonomy 207QA0505X · Licence OS-6925 (FL)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence OS-6925 (FL)

Record details

NPI number1619921962
Entity typeIndividual (Type 1)
GenderMale
Credentials DOFACOFP
Sole proprietorYes
NPI enumeratedMay 20, 2006
Last updated in NPPESFebruary 6, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesADDICTION MEDICINE, GENERAL PRACTICE, INFECTIOUS DISEASE, INTERNAL MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Lauderdale