Individual
DR. FARAH MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9090 REGENCY SQUARE BLVD, JACKSONVILLE, FL 32211-8119
(904) 724-5576
(904) 724-0721
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME78191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000844885A
—
GA
01
—
080155902
RAILROAD MEDICARE
FL
05
—
2580250-00
—
FL
Enumeration date
07/04/2006
Last updated
11/19/2024
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