# FAMILY MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1639585466
- **Authorized official:** DR. RAJAN KUMAR SAREEN MD (OWNER)
- **Authorized official phone:** (239) 694-2161

## Contact information

- **Practice address:** 4801 PALM BEACH BLVD, FORT MYERS, FL 33905-3214
- **Practice address phone:** (239) 694-2161
- **Practice address fax:** (239) 694-4131
- **Mailing address:** PO BOX 51108, FORT MYERS, FL 33994-1108
- **Mailing address phone:** (239) 694-2161
- **Mailing address fax:** (239) 694-4131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2014
- **Last updated:** 07/01/2014