JAWED AKHTER MALLICK

OCOEE, FL
NPI1376191023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: FL  APRN11003832)
Additional Taxonomies363LG0600X Nurse Practitioner Gerontology
(Licence: FL  APRN11003832)
Enumeration Date2019-08-27
Last Update Date2020-01-23
Business Address
JAWED AKHTER MALLICK APRN
10000 W COLONIAL DR
OCOEE, FL 34761-3400
Phone number: 321-843-1378
Mailing Address
JAWED AKHTER MALLICK APRN
10000 W COLONIAL DR
OCOEE, FL 34761-3400
Phone number: 321-843-1378