Individual
MARIAM FEROZA EJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1812 HEALTH CARE DR, TRINITY, FL 34655-5362
(813) 731-0944
(727) 372-3301
Mailing address
4033 TAMPA RD, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
240023
NY
208000000X
Pediatrics Physician
Primary
ME134156
FL
Other
Enumeration date
07/27/2006
Last updated
06/10/2021
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