Individual
DR. MRIDUL K MAZUMDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1616 PHYSICIANS DR, TALLAHASSEE, FL 32308-4619
(850) 431-5119
(850) 431-2467
Mailing address
1115 W CALL ST, TALLAHASSEE, FL 32304-3556
(850) 431-5119
(850) 431-2467
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
27255
SC
2084P0800X
Psychiatry Physician
Primary
ME129519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272555
—
SC
Enumeration date
01/25/2007
Last updated
02/26/2021
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