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Organization

FM PRIMARY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARDAR KHAN (PRACTICE ADMINISTRATOR)
(561) 779-2123
Entity
Organization

Contact information

Practice address
1042 CENTER DR, SUITE 111, RICHMOND, KY 40475-3838
(561) 779-2123
Mailing address
1042 CENTER DR, SUITE 111, RICHMOND, KY 40475-3838
(561) 779-2123

Taxonomy

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

Other

Enumeration date
12/01/2015
Last updated
12/01/2015
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