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Individual

MR. RASHID MIRZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980-2005
(941) 235-4900
(941) 235-4901
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7474
(239) 343-4185

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021-0172
NM
2080P0206X
Pediatric Gastroenterology Physician
2021-0172
NM
2080P0206X
Pediatric Gastroenterology Physician
MD2021-0172
NM
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME165190
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120737500
FL
Enumeration date
01/20/2022
Last updated
06/27/2024
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