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Organization
PAK RURAL HEALTH
Active
Organization
PAK RURAL HEALTH
Active
Other names
Pak Rural Health
Organization subpart
No
Provider details
NPI number
Authorized official
IKRAM U QURESHI M.D. (OWNER)
(850) 547-4771
Entity
Organization
Contact information
Practice address
812 S. WEEKS ST, BONIFAY, FL 32425
(850) 547-4771
(850) 547-3136
Mailing address
812 S. WEEKS ST, BONIFAY, FL 32425
(850) 547-4771
(850) 547-3136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME23207
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039448300
—
FL
Enumeration date
05/23/2007
Last updated
09/30/2010
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