Individual
DR. RIZWAN A QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11373 CORTEZ BLVD, SUITE 308, BROOKSVILLE, FL 34613-5414
(352) 592-2003
(352) 592-0433
Mailing address
6800 MARINER BLVD, SPRINGHILL, FL 34609-5414
(352) 592-2003
(352) 592-0433
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME73643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166975
STAYWELL
FL
05
—
259144800
—
FL
01
—
263767
AVMED
FL
01
—
42558
BC/BS
FL
01
—
75060871
PRESTIGE
FL
Enumeration date
07/26/2006
Last updated
07/21/2022
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