Organization
EVEREST HEALTHCARE INC
Active
Other names
Florida Medical Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEMIR AJSIC (CREDENTIALING SPECIALIST)
(704) 904-2862
Entity
Organization
Contact information
Practice address
224 EGLIN PKWY NE STE E, FORT WALTON BEACH, FL 32547-2877
(850) 215-4856
(877) 544-6997
Mailing address
1815 BACK CREEK DR, CHARLOTTE, NC 28213-2159
(704) 904-2862
(704) 716-7801
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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