Organization
FAWAZ MEDICAL AND SURGICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA MAULDIN (OFFICE MANAGER)
(850) 951-8800
Entity
Organization
Contact information
Practice address
962 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3372
(850) 951-8800
Mailing address
962 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3372
(850) 951-8800
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME82523
ZZ
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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