Individual
PUSHPA P NIRMUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11260 SULLIVAN ST., RIVERVIEW, FL 33578
(813) 689-7571
(813) 654-8129
Mailing address
11260 SULLIVAN ST., RIVERVIEW, FL 33578
(813) 689-7571
(813) 654-8129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0038457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066482100
—
FL
Enumeration date
12/12/2006
Last updated
12/01/2014
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