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Organization
AMIR A MALIK MD PA
Active
Organization
AMIR A MALIK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR A MALIK MD (OWNER/CEO)
(904) 829-8300
Entity
Organization
Contact information
Practice address
204 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 829-8300
(904) 829-8310
Mailing address
PO BOX 1779, ST AUGUSTINE, FL 32085-1779
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273954200
—
FL
01
—
CJ9642
RAILROAD MEDICARE
FL
Enumeration date
09/13/2006
Last updated
01/28/2010
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