| Abdul B Mir Md Pa | |
|
131 E Redstone Ave Suite 101 Crestview FL 32539-5326 | |
| (850) 682-5174 | |
| (850) 689-3653 |
| Full Name | Abdul B Mir Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 131 E Redstone Ave, Crestview, Florida |
| Authorized Official Name and Position | Abdul B Mir (OWNER) |
| Authorized Official Contact | 8506825174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abdul B Mir Md Pa 131 E Redstone Ave Suite 101 Crestview FL 32539-5326 Ph: (850) 682-5174 | Abdul B Mir Md Pa 131 E Redstone Ave Suite 101 Crestview FL 32539-5326 Ph: (850) 682-5174 |
| NPI Number | 1255660775 |
|---|---|
| Provider Enumeration Date | 12/11/2009 |
| Last Update Date | 12/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255660775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0032883 (Florida) | Primary |
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