NPI 1003786948
Fairbanks Partners LLC
Practice location
- Address
- 400 Celebration Pl STE A360, Celebration, FL 34747-4970
- Phone
- (407) 975-0200
- Fax
- (407) 975-0209
- Mailing address
- 265 E Rollins St STE 12000, Orlando, FL 32804-5571
Authorised official
- Name
- Pasha Johnson
- Title
- Credentialing Specialist
- Phone
- (407) 975-0200
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1003786948
- Entity type
- Organization
- NPI issued
- 6 Nov 2025
- Record last updated
- 6 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.