Individual
DR. TARIQ GULZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6353 ARGYLE FOREST BLVD STE 4, JACKSONVILLE, FL 32244-6602
(904) 908-0200
(904) 908-3915
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME122382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014742300
—
FL
Enumeration date
07/24/2012
Last updated
12/21/2018
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