Active NPI
Farhan Malik, DO
- Federally Qualified Health Center (FQHC)
- Saint Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- OS13407
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS13407 | FL | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | 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
- fmalik805184@direct.shands.ufl.edu
- fmalik734420@direct.hopkinsmedicine.org
- 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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.