Provider Demographics
NPI:1790835312
Name:TASLIMI & MIRZA, M.D., P.A.
Entity Type:Organization
Organization Name:TASLIMI & MIRZA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:TASLIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-771-4747
Mailing Address - Street 1:5333 N DIXIE HWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-3414
Mailing Address - Country:US
Mailing Address - Phone:954-771-4747
Mailing Address - Fax:954-491-6841
Practice Address - Street 1:5333 N DIXIE HWY
Practice Address - Street 2:SUITE 106
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3414
Practice Address - Country:US
Practice Address - Phone:954-771-4747
Practice Address - Fax:954-491-6841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty