Medical Center LLC

NPI #1508929050 in Blountstown, Florida

Provider Information

NPI Number: 1508929050
Entity Type: Organization
Organization Name: Medical Center LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 18, 2006
Last Updated: Feb 16, 2012

Practice Location

Address: 20454 NE FINLEY AVE
City: Blountstown
State: Florida
ZIP Code: 32424-6012
Phone: (850) 674-2221

Authorized Official

Name: MR. IQBAL A FAUQUI, MD
Title: OWNER PRESIDENT
Phone: (850) 674-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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