MEDICARE: FLORIDA MEDICAL LABORATORY GROUP, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538758958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA MEDICAL LABORATORY GROUP, INC

Provider Business Mailing Address
First Line	:	224 EGLIN PKWY NE STE E
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-2877
Country	:	US
Telephone Number	:	850-374-8573
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 EGLIN PKWY NE STE E
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-2877
Country	:	US
Telephone Number	:	850-374-8573
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. SEMIR AJSIC
Credential	:
Telephone Number	:	704-904-2862

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	01/11/2021

Similar Medicare Providers

1629369509 — MRS. KRISTIN ANNE FREDMONSKY OTR/L
Practice Location Address:

224D EGLIN PKWY NE
FORT WALTON BEACH, FL
32547-2877

Practice Phone: 850-862-7227
Practice Fax: 850-862-2421

1528679586 — EVEREST HEALTHCARE INC
Practice Location Address:

224 EGLIN PKWY NE STE E
FORT WALTON BEACH, FL
32547-2877

Practice Phone: 850-215-4856
Practice Fax: 877-544-6997

1316823826 — KEVIN MICHAEL O'QUINN FNP
Practice Location Address:

224 EGLIN PKWY NE
FORT WALTON BEACH, FL
32547-2877

Practice Phone: 850-723-0251
Practice Fax:

1013496835 — MRS. STEPHENY N LAMBLIN LPC, LAC,NCC, EMDRC
Practice Location Address:

140 W OAK ST STE 280
FORT COLLINS, CO
80524-2877

Practice Phone: 970-430-6522
Practice Fax: 970-797-1009

1396030128 — MRS. EMILY BRADSHAW DPT
Practice Location Address:

WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG, NC
28310-2877

Practice Phone: 910-907-8922
Practice Fax: 910-907-6069

1861817199 — PAUL SOHR LMHC, C.A.P., ICADC
Practice Location Address:

1800 SE 3RD AVE
FORT LAUDERDALE, FL
33316-2877

Practice Phone: 754-227-8937
Practice Fax: 754-200-5155

Directions to “FLORIDA MEDICAL LABORATORY GROUP, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.