Organization
MEDICAL CONSULTANTS OF FLORIDA LLC
Active
Other names
MedFlorida Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAZIN SHIKARA MD (PRESIDENT)
(561) 502-3139
Entity
Organization
Contact information
Practice address
672 SW PRIMA VSTA BLVD, 101, PORT ST LUCIE, FL 34983-1820
(772) 905-2555
Mailing address
PO BOX 4189, DEERFIELD BEACH, FL 33442-4189
(772) 905-2555
(772) 336-8153
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000236200
—
FL
Enumeration date
02/18/2016
Last updated
07/21/2021
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