| Mirza Medical Pa | |
|
3075 Nw 35th Ave Lauderdale Lakes FL 33311-1107 | |
| (305) 891-8850 | |
| Not Available |
| Full Name | Mirza Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3075 Nw 35th Ave, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Khurram Mirza (OWNER) |
| Authorized Official Contact | 9543355500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirza Medical Pa 3021 Ne 44th St Fort Lauderdale FL 33308-5307 Ph: () - | Mirza Medical Pa 3075 Nw 35th Ave Lauderdale Lakes FL 33311-1107 Ph: (305) 891-8850 |
| NPI Number | 1851820922 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 06/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851820922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME122105 (Florida) | Primary |
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