| Pak Rural Health | |
|
812 S. Weeks St Bonifay FL 32425 | |
| (850) 547-4771 | |
| (850) 547-3136 |
| Full Name | Pak Rural Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 812 S. Weeks St, Bonifay, Florida |
| Authorized Official Name and Position | Ikram U Qureshi (OWNER) |
| Authorized Official Contact | 8505474771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pak Rural Health 812 S. Weeks St Bonifay FL 32425 Ph: (850) 547-4771 | Pak Rural Health 812 S. Weeks St Bonifay FL 32425 Ph: (850) 547-4771 |
| NPI Number | 1477763860 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477763860 | NPI | - | NPPES |
| 039448300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME23207 (Florida) | Primary |
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