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Contact Information

PAK RURAL HEALTH
812 S. WEEKS ST
BONIFAY, FL32425
 Phone: 850-547-4771
 Fax: 850-547-3136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PAK RURAL HEALTH

NPI Number 1477763860
LBN Legal business name PAK RURAL HEALTH
Authorized official IKRAM QURESHI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2007
Last updated 09/30/2010 - About 16 years ago
Identifiers
FL License # ME23207
FL Medicaid 039448300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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