Healthcare Provider Details

I. General information

NPI: 1902725096
Provider Name (Legal Business Name): FIRAS HIJQZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 S PINELLAS AVE STE A
TARPON SPRINGS FL
34689-1953
US

IV. Provider business mailing address

2603 SPRUCEWOOD LN
PLANT CITY FL
33563-8887
US

V. Phone/Fax

Practice location:
  • Phone: 813-842-1160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: