OrganizationActive
Medical Center LLC
NPI 1508929050 · Internal Medicine Physician · Blountstown, FL
Provider details
- NPI number
- 1508929050
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Iqbal Fauqui, Owner President(850) 674-2221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20454 Ne Finley Ave
Blountstown, FL 32424-6012
Phone: (850) 674-2221
Fax: (850) 674-2121
Street-level locationGet directions
Mailing address
20454 Ne Finley Ave
Blountstown, FL 32424-6012
Other names (DBA / former)
- Doing business as
- The Medical Center of Blountstown
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2012-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.