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Organization

DR NICK AUSAF FAMILY PRACTICE PA

Active
Other names
The Lakefront Center for Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NIAZ AMER AUSAF DO (OWNER/CEO)
(863) 402-1001
Entity
Organization

Contact information

Practice address
5 RYANT BLVD, SEBRING, FL 33870-8075
(863) 402-1001
(863) 402-9097
Mailing address
PO BOX 8057, SEBRING, FL 33872-0118
(863) 402-1001
(863) 402-9097

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7734
FL

Other

Enumeration date
08/09/2010
Last updated
12/30/2011
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