Healthcare Provider Details

I. General information

NPI: 1952860983
Provider Name (Legal Business Name): AMEER MALIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7239 US HIGHWAY 301 S
RIVERVIEW FL
33578-4346
US

IV. Provider business mailing address

6810 CROSBY FALLS DR
JACKSONVILLE FL
32222-2564
US

V. Phone/Fax

Practice location:
  • Phone: 813-741-2100
  • Fax: 813-741-2003
Mailing address:
  • Phone: 786-223-2335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME154323
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: