Lotfalla, Mira M

Lotfalla, Mira M is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Lotfalla, Mira M can be contacted via phone (904) 953-2000.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 28405 Minnesota
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 65883 Minnesota
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X ME156755 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X D89548 Maryland

Profile Details

NPI number 1164956611
LBN Legal business name Lotfalla, Mira M
Credentials M.B.B.CH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2017
Last updated May 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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