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NPI Code Detail

MEDICARE: MIRA HABSHY

MEDICARE:   MIRA  HABSHY
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
11835C0207XCompounded Sterile Preparations Pharmacist53076FL

General Provider Information

NPI Number : 1467325894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRA HABSHY
Provider Business Mailing Address
First Line : 10201 BAY BREEZE CT
Second Line :
City : TAMPA
State : FL
Zip : 33615-4261
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5505 JOHNS RD
Second Line :
City : TAMPA
State : FL
Zip : 33634-4307
Country : US
Telephone Number : 813-644-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2025
Last Update Date : 09/23/2025

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Directions to “ MIRA HABSHY ” Practice Location

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