Organization
OCALA INFECTIOUS DISEASE AND WOUND CENTER, INC
Active
Organization
OCALA INFECTIOUS DISEASE AND WOUND CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARIS INAM MIRZA M.D. (PRESIDENT)
(352) 401-7552
Entity
Organization
Contact information
Practice address
321 SE 29TH PL, SUITE 101, OCALA, FL 34471-0489
(352) 401-7552
(352) 622-7945
Mailing address
PO BOX 5580, OCALA, FL 34478-5580
(352) 401-7552
(352) 622-7945
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME88195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267672900
—
FL
01
—
K8951
MEDICARE PTAN
—
Enumeration date
06/26/2007
Last updated
03/07/2014
Update your record
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