Organization
GULNAZ MIRZA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GULNAZ MIRZA MD (PRESIDENT)
(561) 964-1411
Entity
Organization
Contact information
Practice address
4915 S CONGRESS AVE, SUITE D, LAKE WORTH, FL 33461
(561) 964-1411
(561) 964-3039
Mailing address
113 HAMILTON TERRACE, ROYAL PALM BEACH, FL 33414
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME76874
FL
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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