FAWAZ MEDICAL AND SURGICAL CLINIC, LLC
Ambulatory Health at Us Highway 331, Defuniak Springs, FL

License number
Florida ME82523
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: JANNA MAULDIN
Title: OFFICE MANAGER
Phone: (850) 951-8800
Address
Address
962 Us Highway 331 S, Defuniak Springs, FL 32435
National Provider ID: 1801207626
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FAWAZ MEDICAL AND SURGICAL CLINIC, LLC at bizstanding.com

FAWAZ MEDICAL AND SURGICAL CLINIC, LLC

Defuniak Springs, FL

Registration:
Sep 29, 2011
Addresses:
962 Hwy, Defuniak Springs, FL 32435 (Physical)
962 Us Hwy 331 S, Defuniak Springs, FL 32435
State ID:
L11000112037
Business type:
Florida Limited Liability Company
Manager:
Fawzi Fawaz (Manager), 598 S.second St, Defuniak Springs, FL 32435 (Physical)
Agent:
William Green,664 Baldwin Ave, Defuniak Springs, FL 32435 (Physical)
EIN:
45-3780140

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