Provider Demographics
NPI:1609052067
Name:MOZAJ INC
Entity Type:Organization
Organization Name:MOZAJ INC
Other - Org Name:SEMINOLE DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:JANOONWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-398-1969
Mailing Address - Street 1:10720 PARK BLVD
Mailing Address - Street 2:STE E
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-5461
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10720 PARK BLVD
Practice Address - Street 2:STE E
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-5461
Practice Address - Country:US
Practice Address - Phone:727-398-1969
Practice Address - Fax:727-446-4132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH230163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1031905OtherOTHER ID NUMBER