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:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1588612592 | NPPES |
| Florida | MEDICAID | 260955000 |
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