MIRZA MEDICAL PA (NPI# 1851820922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851820922 |
| Entity Type | Organization |
| Organization Name | MIRZA MEDICAL PA |
| Practice Address |
3075 Nw 35th Ave Lauderdale Lakes FL 33311-1107 |
| Mailing Address |
3021 Ne 44th St Fort Lauderdale FL 33308-5307 |
| Practice Telephone | 3058918850 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Authorized Official Name | KHURRAM MIRZA (OWNER) |
| Authorized Official Telephone | 9543355500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME122105 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3075 NW 35TH AVE |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33311-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559902 | St Johns Rehabilitation Hospital and Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2005-09-21 |
| 1578823886 | Herbert Goldwire Pa | Nurse Practitioner | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2012-05-21 |
| 1548545601 | Practitioner Medical Services Inc | Clinic/Center | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-10-19 |
| 1669763462 | Nova Southeastern University, Inc | Dentist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-04-27 |
| 1841521002 | Marie Michelle Carner | Nurse Practitioner | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2010-01-27 |
| 1811923352 | Clinton Jules | Specialist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-06-25 |
| 1184679318 | Catholic Home Health Services of Broward Inc | Home Health | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861687485 | Basil Mangra Md Pa | Internal Medicine | 2518 N State Road 7, Lauderdale Lakes, FL 33313-2777 | 2007-09-06 |
| 1518087527 | Harry Marcelin | Internal Medicine | 4050 Nw 34th St, Lauderdale Lakes, FL 33319-5721 | 2007-03-31 |
| 1134146954 | Israel Rabinsky | Internal Medicine | 4700 N State Road 7, Lauderdale Lakes, FL 33319 | 2006-07-16 |
| 1336165349 | Regina B Portnova Md Inc | Internal Medicine | 2951 Nw 49 Ave, Suite 201, Lauderdale Lakes, FL 33313 | 2006-07-14 |
| 1114952413 | Wagdy Tadros | Internal Medicine | 4469 N State Road 7, Lauderdale Lakes, FL 33319-5876 | 2006-07-12 |
| 1659318277 | Pricare of Broward, Inc. | Internal Medicine | 3670 W Oakland Park Blvd, Lauderdale Lakes, FL 33311-1148 | 2006-06-01 |
| 1174577506 | Juan Villarroel | Internal Medicine | 4850 W Oakland Park Blvd Ste 148, Lauderdale Lakes, FL 33313-7277 | 2006-05-20 |
| 1831182880 | Edouard Rene Martin | Internal Medicine | 2951 Nw 49th Ave., Suite #101, Lauderdale Lakes, FL 33313 | 2005-08-25 |
| 1356344493 | Humaira V Khan | Internal Medicine | 4850 W Oakland Park Blvd, Ste 132, Lauderdale Lakes, FL 33313-7268 | 2005-05-23 |
| 1023667680 | Johana Elizabeth Marti Pineda | Internal Medicine | 4900 W Oakland Park Blvd Ste 207, Lauderdale Lakes, FL 33313-1501 | 2019-09-06 |
| Find all providers in LAUDERDALE LAKES | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33311 |
Please comment or provide details below to improve the information on MIRZA MEDICAL PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.