Individual
GULNAZ MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8190 S JOG RD, SUITE 120, BOYNTON BEACH, FL 33472-2912
(561) 964-1411
(561) 964-3039
Mailing address
8190 S JOG RD, SUITE 120, BOYNTON BEACH, FL 33472-2912
(561) 964-1411
(561) 964-3039
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME0076874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262162200
—
FL
01
—
2787055
AETNA
—
01
—
49219
BLUE CROSS BLUE SHIELD
—
01
—
7013340
AETNA
—
Enumeration date
03/08/2006
Last updated
07/13/2016
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