Primary Care Center of Lynn Haven
NPI #1700803624 in Lynn Haven, Florida
Provider Information
- NPI Number
- 1700803624
- Entity Type
- Organization
- Organization Name
- Primary Care Center of Lynn Haven
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Oct 26, 2011
Practice Location
- Address
- 825 FLORIDA AVE
- City
- Lynn Haven
- State
- Florida
- ZIP Code
- 32444-2335
- Phone
- (850) 265-3686
Authorized Official
- Name
- DR. ASIM J KHATTAK, M.D.
- Title
- OWNER
- Phone
- (850) 265-3686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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