Individual
HARIS INAM MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2651 SW 32ND PL, OCALA, FL 34471
(352) 401-7552
(352) 622-7945
Mailing address
2651 SW 32ND PL, OCALA, FL 34471
(352) 401-7552
(352) 622-7945
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME88195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267672900
—
FL
01
—
81078
BC/BS
FL
01
—
81078Y
MEDICARE PTAN
FL
Enumeration date
05/10/2006
Last updated
02/04/2015
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