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Organization
MEDICAL PROFESSIONALS OF NORTH FLORIDA
Active
Organization
MEDICAL PROFESSIONALS OF NORTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAWAD SAMIR FARHAT M.D. (PRESIDENT)
(904) 460-9191
Entity
Organization
Contact information
Practice address
1301 PLANTATION ISLAND DR S, SUITE 106A, SAINT AUGUSTINE, FL 32080-3108
(904) 460-9191
Mailing address
1301 PLANTATION ISLAND DR S, SUITE 106A, SAINT AUGUSTINE, FL 32080-3108
(904) 460-9191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256431900
—
FL
Enumeration date
02/11/2009
Last updated
02/11/2009
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