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Organization
FAWAZ MEDICAL AND SURGICAL CLINIC, LLC
Active
Organization
FAWAZ MEDICAL AND SURGICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA MAULDIN (OFFICE MANAGER)
(850) 951-8800
Entity
Organization
Contact information
Practice address
962 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3372
(850) 951-8800
Mailing address
962 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3372
(850) 951-8800
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME82523
ZZ
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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