| NPI | 1649553793 |
|---|---|
| Doing Business As | FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | IMRAN M MALIK Managing Member 772-380-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME107296) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-11-15 |