Individual
HAMID MUMTAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 HEALING WAY STE 310, WESLEY CHAPEL, FL 33543
(813) 779-1209
(813) 779-1216
Mailing address
2700 HEALING WAY STE 310, WESLEY CHAPEL, FL 33543-5453
(813) 779-1209
(813) 779-1216
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
E-3401
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME138715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154513001
—
AR
01
—
P01149504
RAILROAD MCARE
AR
Enumeration date
08/12/2006
Last updated
12/06/2019
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