# FM PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629442744
- **Authorized official:** SARDAR KHAN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (561) 779-2123

## Contact information

- **Practice address:** 1042 CENTER DR, SUITE 111, RICHMOND, KY 40475-3838
- **Practice address phone:** (561) 779-2123
- **Mailing address:** 1042 CENTER DR, SUITE 111, RICHMOND, KY 40475-3838
- **Mailing address phone:** (561) 779-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2015
- **Last updated:** 12/01/2015