| Individualized Medicine, Llc | |
|
6100 Saint Johns Ave Suite 4(d) Palatka FL 32177-3844 | |
| (386) 329-3939 | |
| (386) 329-8990 |
| Full Name | Individualized Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6100 Saint Johns Ave, Palatka, Florida |
| Authorized Official Name and Position | Larisa Malykh (PRACTICE OWNER/PHYSICIAN) |
| Authorized Official Contact | 3863293939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individualized Medicine, Llc Po Box 100 Elkton FL 32033-0100 Ph: (386) 329-3939 | Individualized Medicine, Llc 6100 Saint Johns Ave Suite 4(d) Palatka FL 32177-3844 Ph: (386) 329-3939 |
| NPI Number | 1962701722 |
|---|---|
| Provider Enumeration Date | 03/19/2011 |
| Last Update Date | 03/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962701722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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Hussein Zabad Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Zeagler Dr, Suite 430, Palatka, FL 32177 Phone: 386-326-0596 Fax: 386-326-0598 | |
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