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Individual

BILAL MIRZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
701 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-5595
(321) 434-1771
(321) 434-1775
Mailing address
701 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-5595
(321) 434-1771
(321) 434-1775

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS21954
FL
208M00000X
Hospitalist Physician
Primary
OS21954
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127562500
FL
01
VT582
MEDICARE HF
FL
Enumeration date
03/22/2022
Last updated
08/01/2025
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