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Organization
MD FAMILY MEDICINE
Active
Organization
MD FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE DICK MD (OWNER)
(678) 357-6880
Entity
Organization
Contact information
Practice address
2851 W PROSPECT RD UNIT 201, TAMARAC, FL 33309-2593
(678) 357-6880
Mailing address
17640 CANTARINA CV, LAKEWOOD RANCH, FL 34211-1127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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