Individual
MUKHTAR RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 SW 6TH ST, FORT LAUDERDALE, FL 33315-1027
(954) 533-2079
Mailing address
323 SW 6TH ST, FORT LAUDERDALE, FL 33315-1027
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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