Idrees, Muktiar
Idrees, Muktiar is an individual health care provider with primary practice located at 1860 N Pine Island Rd Ste 105 , Plantation FL 33322-5234. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Idrees, Muktiar can be contacted via phone (754) 216-8333.Contact Information
Primary practice address
1860 N Pine Island Rd Ste 105
Plantation FL 33322-5234
Phone: (754) 216-8333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1679163810 |
|---|---|
| LBN Legal business name | Idrees, Muktiar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2021 |
| Last updated | Jan 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679163810 | NPPES |
| Florida | MEDICAID | 108026100 |
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