| Mz Professional Services, Inc. | |
|
7481 W. Oakland Park Blvd. Ste 100 Lauderhill FL 33319-4985 | |
| (888) 852-6672 | |
| (305) 891-4228 |
| Full Name | Mz Professional Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7481 W. Oakland Park Blvd., Lauderhill, Florida |
| Authorized Official Name and Position | Sohail Punjwani (CEO/PRESIDENT) |
| Authorized Official Contact | 7192855121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mz Professional Services, Inc. 1065 Ne 125th St Ste 409 North Miami FL 33161-5821 Ph: (888) 852-6672 | Mz Professional Services, Inc. 7481 W. Oakland Park Blvd. Ste 100 Lauderhill FL 33319-4985 Ph: (888) 852-6672 |
| NPI Number | 1285932095 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 11/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285932095 | NPI | - | NPPES |
| EX561A | Other | FL | MEDICARE PTAN FOR GROUP MZ PROFESSIONAL SERVICES, INC. |
| 370943400 | Medicaid | FL | |
| 09837W | Other | FL | MEDICARE PTAN INDIVIDUAL FOR MZ PROFESSIONAL SERVICES, INC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME54504 (Florida) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME54504 (Florida) | Secondary |
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