IndividualActive
Avichai Fagan
NPI 1356084487 · Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL
Provider details
- NPI number
- 1356084487
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone: (786) 910-3801
Street-level locationGet directions
Mailing address
8506 Rebecca Lauren Ct
Baltimore, MD 21208-2285
Registry dates
- Enumerated
- 2022-04-17
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.