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Individual

DR. BAAZ MISHIEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4700 SHERIDAN STREET, SUITE F, HOLLYWOOD, FL 33021
(954) 961-8400
Mailing address
4700 SHERIDAN STREET, 4700M, HOLLYWOOD, FL 33021
(917) 691-9457

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11185
FL
207R00000X
Internal Medicine Physician
241399
NY
207R00000X
Internal Medicine Physician
ME106701
FL
207RG0100X
Gastroenterology Physician
241399
NY
207RG0100X
Gastroenterology Physician
Primary
ME106701
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2491300
FL
Enumeration date
03/27/2009
Last updated
06/03/2016
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