Organization
ENDOCRINOLOGY AND DIABETES CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GULNAZ MIRZA M.D. P.A. (OWNER)
(561) 964-1411
Entity
Organization
Contact information
Practice address
4915 S CONGRESS AVE, SUITE D, LAKE WORTH, FL 33461-4734
(561) 964-1411
(561) 964-3039
Mailing address
4915 S CONGRESS AVE, SUITE D, LAKE WORTH, FL 33461-4734
(561) 964-1411
(561) 964-3039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07717
FL
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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