Organization
MZ PROFESSIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOHAIL PUNJWANI M.D. (CEO/PRESIDENT)
(719) 285-5121
Entity
Organization
Contact information
Practice address
7481 W. OAKLAND PARK BLVD., STE 100, LAUDERHILL, FL 33319-4985
(888) 852-6672
(305) 891-4228
Mailing address
1065 NE 125TH ST, STE 409, NORTH MIAMI, FL 33161-5821
(888) 852-6672
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME54504
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME54504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09837W
MEDICARE PTAN INDIVIDUAL FOR MZ PROFESSIONAL SERVICES, INC
FL
05
—
370943400
—
FL
01
—
EX561A
MEDICARE PTAN FOR GROUP MZ PROFESSIONAL SERVICES, INC.
FL
Enumeration date
03/02/2011
Last updated
11/11/2011
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