Organization
MEDEC MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QAZIM SALIA PA (OWNER)
(312) 719-2211
Entity
Organization
Contact information
Practice address
1270 N WICKHAM RD STE 9, MELBOURNE, FL 32935-8300
(321) 567-2211
(321) 286-0496
Mailing address
1270 N WICKHAM RD STE 9, MELBOURNE, FL 32935-8300
(321) 567-2211
(321) 286-0496
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110804600
—
FL
01
—
E8X1N
FL BCBS
FL
Enumeration date
01/25/2021
Last updated
07/26/2024
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