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Individual

DR. SHAHZAIB MIRZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4300 KINGS HWY STE 500, PORT CHARLOTTE, FL 33980-2953
(393) 442-3252
(941) 764-6176
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME128220
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017589500
FL
Enumeration date
11/07/2013
Last updated
08/24/2021
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