Fawaz Medical and Surgical Clinic, LLC
NPI #1801207626 in Defuniak Springs, Florida
Provider Information
- NPI Number
- 1801207626
- Entity Type
- Organization
- Organization Name
- Fawaz Medical and Surgical Clinic, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- May 14, 2014
- Last Updated
- May 14, 2014
Practice Location
- Address
- 962 US HIGHWAY 331 S
- City
- Defuniak Springs
- State
- Florida
- ZIP Code
- 32435-3372
- Phone
- (850) 951-8800
Authorized Official
- Name
- JANNA MAULDIN
- Title
- OFFICE MANAGER
- Phone
- (850) 951-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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