10D1004537 CLIA NUMBER - GULNAZ MIRZA MD PA

Laboratory Demographics

CLIA Number: 10D1004537

Facility Name: GULNAZ MIRZA MD PA

Facility Address:
8190 S JOG RD
BOYNTON BEACH, FL
ZIP 33472
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Facility Phone Number: 561 964-1411

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215904354

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	10D1004537
LAB Type	Physician Office
Facility Name	GULNAZ MIRZA MD PA
Street	8190 S JOG RD
City	BOYNTON BEACH
State	FL
ZIP	33472
Phone	561 964-1411
CertificateType	4
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024