Organization
AMIR A MALIK MD PA
Active
Parent organization
AMIR A MALIK MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMIR A MALIK MD PA
Authorized official
AMIR A MALIK MD (OWNER)
(904) 829-8300
Entity
Organization
Contact information
Practice address
199 S US HIGHWAY 17, EAST PALATKA, FL 32131-6071
(386) 312-0556
(386) 326-3971
Mailing address
PO BOX 1779, ST AUGUSTINE, FL 32085-1779
(386) 312-0556
(386) 326-3971
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME50791
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39898
BCBS
FL
Enumeration date
10/08/2009
Last updated
10/08/2009
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