Individual
MR. MANSOOR S. MUGHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 SHIRCLIFF WAY, STE. 715, JACKSONVILLE, FL 32204
(904) 388-8446
(904) 384-6261
Mailing address
1137 ASHFIELD WAY, ST. JOHNS, FL 32259
(904) 388-8446
(904) 384-6261
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA10324500
NJ
207W00000X
Ophthalmology Physician
Primary
ME145502
FL
207W00000X
Ophthalmology Physician
R-8496
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106346900
—
FL
Enumeration date
09/19/2008
Last updated
04/02/2021
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