Abdul B Mir MD PA

NPI #1255660775 in Crestview, Florida

Provider Information

NPI Number: 1255660775
Entity Type: Organization
Organization Name: Abdul B Mir MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Dec 11, 2009
Last Updated: Dec 11, 2009

Practice Location

Address: 131 E REDSTONE AVE
Address 2: SUITE 101
City: Crestview
State: Florida
ZIP Code: 32539-5326
Phone: (850) 682-5174

Authorized Official

Name: ABDUL B MIR
Title: OWNER
Phone: (850) 682-5174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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