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Individual

IMTIAZ HOSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 CLEARWATER-LARGO RD N #2, LARGO, FL 33770-2357
(727) 588-0366
(727) 588-0370
Mailing address
101 CLEARWATER-LARGO RD N #2, LARGO, FL 33770-2357
(727) 588-0366
(727) 588-0370

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME70148
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME70148
FL

Other

Enumeration date
04/26/2006
Last updated
02/20/2012
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