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IMRAN MALIK MD LLC NPI 1649553793


NPI Information

NPI: 1649553793
Provider Name: IMRAN MALIK MD LLC

Doing Business As: FAMILY MEDICINE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2029487

Address:
8515 S US HIGHWAY 1
SUITE 3
PORT SAINT LUCIE, FL
ZIP 34952
Phone: (772) 380-4042
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IMRAN MALIK MD LLC is a family medicine in Port Saint Lucie, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IMRAN MALIK MD LLC NPI is 1649553793. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Medicine Clinic.

The provider's business location address is:

8515 S US HIGHWAY 1
SUITE 3
PORT SAINT LUCIE, FL
ZIP 34952-346
Phone: (772) 380-4042
Fax: (772) 380-4043

The provider's authorized official is Imran M Malik .
The authorized official title is Managing Member and has the following contact phone number (772) 380-4042.

The CLIA number assigned to this NPI record is 10D2029487 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2011 and was last updated on 11/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME107296FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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