Provider Demographics
NPI:1740931419
Name:NASIM, MUHAMMAD HAMZA (RPH)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:HAMZA
Last Name:NASIM
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:DR
Other - First Name:MUHAMMAD
Other - Middle Name:HAMZA
Other - Last Name:NASIM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:2738 MAGPIE WAY
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-7083
Mailing Address - Country:US
Mailing Address - Phone:561-319-4751
Mailing Address - Fax:
Practice Address - Street 1:201 S CHICKASAW TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3504
Practice Address - Country:US
Practice Address - Phone:407-380-9971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist