Individual
SULTAN MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32615 US HIGHWAY 19 N STE 1, PALM HARBOR, FL 34684-3176
(813) 321-1786
(813) 321-1787
Mailing address
4651 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
59759
MN
207N00000X
Dermatology Physician
Primary
ME135477
FL
Other
Enumeration date
05/13/2014
Last updated
12/15/2021
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