Mirza, Asif

Mirza, Asif is an individual health care provider with primary practice located at 2500 W Lake Mary Blvd Suite 101, Lake Mary FL 32746-3501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mirza, Asif can be contacted via phone (407) 936-0976.

Contact Information

Primary practice address
2500 W Lake Mary Blvd Suite 101 Lake Mary FL 32746-3501
Phone: (407) 936-0976
Fax: (407) 936-0977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME78737 Florida

Profile Details

NPI number 1588612592
LBN Legal business name Mirza, Asif
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 20th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588612592 NPPES
Florida MEDICAID 260955000

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