Organization
FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAN KUMAR SAREEN MD (OWNER)
(239) 694-2161
Entity
Organization
Contact information
Practice address
4801 PALM BEACH BLVD, FORT MYERS, FL 33905-3214
(239) 694-2161
(239) 694-4131
Mailing address
PO BOX 51108, FORT MYERS, FL 33994-1108
(239) 694-2161
(239) 694-4131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048663900
—
FL
Enumeration date
07/01/2014
Last updated
07/01/2014
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