Individual
BASEERUDDIN AHMED QAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21808 STATE ROAD 54, LUTZ, FL 33549-6923
(727) 315-8612
Mailing address
9716 SORBONNE LOOP, SEFFNER, FL 33584-2640
(813) 447-1438
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS20266
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/19/2022
Last updated
07/11/2024
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