Organization
ABDUL B MIR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL B MIR (OWNER)
(850) 682-5174
Entity
Organization
Contact information
Practice address
131 E REDSTONE AVE, SUITE 101, CRESTVIEW, FL 32539-5326
(850) 682-5174
(850) 689-3653
Mailing address
131 E REDSTONE AVE, SUITE 101, CRESTVIEW, FL 32539-5326
(850) 682-5174
(850) 689-3653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0032883
FL
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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