Individual provider Active NPI

Farhan Malik, DO

  • Federally Qualified Health Center (FQHC)
  • Saint Petersburg, FL
National Provider Identifier
1942569454
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
OS13407 Issued in FL
Practice address
625 6TH Ave S Ste 305
Saint Petersburg, FL 33701-4664
Phone
(727) 321-3854
Fax
(727) 327-7670
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X OS13407 FL
Family Medicine Physician 207Q00000X OS13407 FL
Federally Qualified Health Center (FQHC) 261QF0400X OS13407 FL Primary
Pediatric Critical Care Medicine Physician 2080P0203X 334596 LA
Pediatric Critical Care Medicine Physician 2080P0203X EMC0003171 MI

Addresses

Primary practice location

625 6TH Ave S Ste 305
Saint Petersburg, FL 33701-4664

Mailing address

701 94TH Ave N Ste 250
Saint Petersburg, FL 33702-2448
Phone (727) 321-3854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180305002369 FL Practitioner - Pediatric Medicine 7517228638 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

1443 San Marco Blvd
Jacksonville, FL 32207-8535
Phone (904) 633-4110

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 202-8758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS13407FLMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physician Services, Inc. CurrentSince Jan 30, 2022 Accepting new patients
The Nemours Foundation CurrentSince Dec 20, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 10, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 6, 2018 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 6, 2018 Accepting new patients
The Nemours Foundation CurrentSince Dec 20, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 10, 2025 Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

Interoperability endpoints

  • Direct secure messaging: fmalik805184@direct.shands.ufl.edu
  • Direct secure messaging: fmalik734420@direct.hopkinsmedicine.org
  • Direct secure messaging: fmalik1139950@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1942569454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 94TH AVE N STE 250",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022448",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 305",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014664",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "FARHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "FL",
            "license": "OS13407",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13407",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": "OS13407",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "LA",
            "license": "334596",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MI",
            "license": "EMC0003171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.