Mirza, Gulnaz

Mirza, Gulnaz is an sole proprietor health care provider with primary practice located at 8190 S Jog Rd Suite 120, Boynton Beach FL 33472-2912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Mirza, Gulnaz can be contacted via phone (561) 964-1411.

Contact Information

Primary practice address
8190 S Jog Rd Suite 120 Boynton Beach FL 33472-2912
Phone: (561) 964-1411
Fax: (561) 964-3039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME0076874 Florida

Profile Details

NPI number 1215904354
LBN Legal business name Mirza, Gulnaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Jul 13th, 2016 - about 10 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 1215904354 NPPES
Other 2787055 AETNA
MEDICAID 262162200 AETNA
Other 7013340 AETNA
Other 49219 AETNA

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