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NPI Code Detail

MEDICARE: DR. SHAZIA NASIR MD

MEDICARE: DR. SHAZIA NASIR 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
1207R00000XInternal Medicine PhysicianME0088336FL

General Provider Information

NPI Number : 1538256953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAZIA NASIR MD
Provider Business Mailing Address
First Line : PO BOX 501
Second Line :
City : GOTHA
State : FL
Zip : 34734-0501
Country : US
Telephone Number : 352-243-3433
Fax Number : 352-243-3044
Provider Business Practice Location Address
First Line : 1950 HOSPITAL VIEW WAY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-1926
Country : US
Telephone Number : 352-243-3443
Fax Number : 352-243-3044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 10/14/2013

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