MEDICARE: OSAMA MUFTI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	ME169133	FL
2	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	ME169133	FL

General Provider Information

NPI Number	:	1629638374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSAMA MUFTI MD

Provider Business Mailing Address
First Line	:	915 N FRANKLIN ST UNIT 1805
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3879
Country	:	US
Telephone Number	:	267-602-7838
Fax Number	:

Provider Business Practice Location Address
First Line	:	27356 CASHFORD CIR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-6935
Country	:	US
Telephone Number	:	813-994-7000
Fax Number	:	813-994-3781

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2019
Last Update Date	:	08/14/2024

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