DR. IMRAN MUSHTAQ MALIK (NPI# 1760651285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760651285 |
| Entity Type | Individual |
| Full Name | DR. IMRAN MUSHTAQ MALIK |
| Credential | M.D. |
| Practice Address |
8515 S Us Highway 1 Suite 3 Port St Lucie FL 34952-3346 |
| Practice Telephone | 7723804042 |
| Practice Fax Number | 7723804043 |
| Mailing Telephone | 7723804042 |
| Mailing Fax Number | 7723804043 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME107296 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301090215 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003235300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596913 | Imran Malik | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2017-05-30 |
| 1104061704 | Imran Malik | Pediatrics | 1400 W Park St, Urbana, IL 61801-2334 | 2008-12-10 |
| Street Address |
8515 S US HIGHWAY 1 SUITE 3 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871757815 | S. Darrell Lee,m.d., P.a | Specialist | 8515 S Us Highway 1, Suite 3, Port St Lucie, FL 34952-3346 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1144736471 | Regenerative Medical Group Florida | Family Medicine | 1400 Se Goldtree Dr Ste 105, Port St Lucie, FL 34952-7582 | 2017-12-22 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1184006892 | Optimus Care Physician Services Pllc | Family Medicine | 5475 Nw Saint James Dr # 148, Port St Lucie, FL 34983-3444 | 2015-06-18 |
| 1235453168 | Florida Medical Center | Family Medicine | 10616 S Federal Hwy, Port St Lucie, FL 34952-6401 | 2010-03-22 |
| 1184873077 | Roberta S Hunter Md Pa | Family Medicine | 1860 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2008-09-16 |
| 1518018142 | Steven William Cohen | Family Medicine | 672 Sw Prima Vista Blvd Ste 102, Port St Lucie, FL 34983-1820 | 2007-01-12 |
| 1508913534 | Cristian Joseph Presutti | Family Medicine | 1701 Se Hillmoor Dr Ste 7, Port St Lucie, FL 34952-7552 | 2007-01-04 |
| 1366542110 | Sheerin Patel | Family Medicine | 8483 S Us 1, Suite 19, Port St Lucie, FL 34952 | 2006-09-22 |
| 1720012438 | Lisa Melaine Rankin | Family Medicine | 499 Nw Prima Vista Blvd, Suite 105, Port St Lucie, FL 34983 | 2006-07-10 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.