Provider Demographics
NPI:1366456311
Name:MAJID, MAZHAR (MD,FACC,FACP)
Entity Type:Individual
Prefix:DR
First Name:MAZHAR
Middle Name:
Last Name:MAJID
Suffix:
Gender:M
Credentials:MD,FACC,FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9105 RANCH RD
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2550
Mailing Address - Country:US
Mailing Address - Phone:954-720-1930
Mailing Address - Fax:954-720-6130
Practice Address - Street 1:7737 N UNIVERSITY DR
Practice Address - Street 2:SUITE#104
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2961
Practice Address - Country:US
Practice Address - Phone:954-720-1930
Practice Address - Fax:954-720-6130
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68932207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260850200Medicaid
FLFK217AMedicare PIN
FLG19932Medicare UPIN
FL27949AMedicare PIN