Dr Shahzaib Mirza, MD | |
4300 Kings Hwy Ste 500, Port Charlotte, FL 33980-2953 | |
(393) 442-3252 | |
(941) 764-6176 |
Full Name | Dr Shahzaib Mirza |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4300 Kings Hwy Ste 500, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225467467 | NPI | - | NPPES |
017589500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME128220 (Florida) | Primary |
Entity Name | Family Health Centers Of Southwest Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326090390 PECOS PAC ID: 3173432085 Enrollment ID: O20040106000084 |
Mailing Address | Practice Location Address |
---|---|
Dr Shahzaib Mirza, MD Po Box 919771, Orlando, FL 32891-9771 Ph: (239) 278-3600 | Dr Shahzaib Mirza, MD 4300 Kings Hwy Ste 500, Port Charlotte, FL 33980-2953 Ph: (393) 442-3252 |
Sandra Hegarty, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Kings Hwy, #500, Port Charlotte, FL 33980 Phone: 239-344-2325 Fax: 941-764-6176 | |
Mr. Luis Ramon Rodriguez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2484 Caring Way, Suite D, Port Charlotte, FL 33952 Phone: 941-625-1999 Fax: 941-625-4600 | |
Dr. Ebenezer Kuma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3406 Tamiami Trl Unit 2, Port Charlotte, FL 33952 Phone: 941-625-4919 Fax: 941-625-5516 | |
Farzana Y Butt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3417 Tamiami Trl, Unit B, Port Charlotte, FL 33952 Phone: 941-629-9200 Fax: 941-629-9336 | |
Benjamin Helgemo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040c Tamiami Trl, Port Charlotte, FL 33948 Phone: 941-629-4464 Fax: 941-629-4701 | |
John R Lamanna Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4300 Kings Hwy, Ste 500, Port Charlotte, FL 33980 Phone: 239-344-2325 Fax: 941-764-6176 |