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Organization
MIRRA MEDICAL GROUP LLC
Active
Organization
MIRRA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIRZA BIAG (VP - BUSINESS DEVELOPMENT)
(352) 584-7452
Entity
Organization
Contact information
Practice address
15261 CORTEZ BLVD, BROOKSVILLE, FL 34613-6072
(352) 584-7452
(727) 399-9037
Mailing address
15261 CORTEZ BLVD, BROOKSVILLE, FL 34613-6072
(352) 584-7452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0018523
FL
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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