Islam, Mirza Saleem-Ul

Islam, Mirza Saleem-Ul is an individual health care provider with primary practice located at 1600 Sw Archer Rd #100119, Gainesville FL 32610-0119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Islam, Mirza Saleem-Ul can be contacted via phone (352) 392-3718.

Contact Information

Primary practice address
1600 Sw Archer Rd #100119 Gainesville FL 32610-0119
Phone: (352) 392-3718
Fax: (352) 392-9081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME98674 Florida

Profile Details

NPI number 1023109014
LBN Legal business name Islam, Mirza Saleem-Ul
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 6th, 2017 - about 8 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 1023109014 NPPES
Florida MEDICAID 277490900

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