Organization
GENERAL MEDICINE AND URGENT CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. RAHAT FADERANI D,O,, M.P.H. (OWNER/PRESIDENT)
(561) 965-4300
Entity
Organization
Contact information
Practice address
5913 S CONGRESS AVE, ATLANTIS, FL 33462-1303
(561) 965-4300
(561) 965-4399
Mailing address
5913 S CONGRESS AVE, ATLANTIS, FL 33462-1303
(561) 965-4300
(561) 965-4399
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OS10474
FL
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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