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Individual

MR. ISLAM GANIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN FNP-BC PMHNP-BC

Contact information

Practice address
6613 49TH ST N, PINELLAS PARK, FL 33781-5728
(727) 954-4543
Mailing address
6613 49TH ST N, PINELLAS PARK, FL 33781-5728
(727) 490-8670

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9303864
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9303864
FL

Other

Enumeration date
03/26/2018
Last updated
03/13/2026
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