Individual
SOMIA MIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3330 WATERMAN WAY, TAVARES, FL 32778-5250
(352) 742-2192
(352) 742-2689
Mailing address
3330 WATERMAN WAY, TAVARES, FL 32778-5250
(352) 742-2192
(352) 742-2689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37979
IA
207R00000X
Internal Medicine Physician
57004902
OH
207RG0100X
Gastroenterology Physician
37979
IA
207RG0100X
Gastroenterology Physician
Primary
ME146431
FL
207RI0008X
Hepatology Physician
37979
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113180900
—
FL
Enumeration date
06/12/2007
Last updated
03/15/2022
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