Organization
FLORIDA MEDICAL LABORATORY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEMIR AJSIC (MANAGER)
(704) 904-2862
Entity
Organization
Contact information
Practice address
224 EGLIN PKWY NE STE E, FORT WALTON BEACH, FL 32547-2877
(850) 374-8573
Mailing address
224 EGLIN PKWY NE STE E, FORT WALTON BEACH, FL 32547-2877
(850) 374-8573
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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