MEDICARE: MIRZA ABID BAIG M.D

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	207ZC0500X	Cytopathology Physician	ME92727	FL
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME 92727	FL

General Provider Information

NPI Number	:	1851300941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRZA ABID BAIG M.D

Provider Business Mailing Address
First Line	:	7111 FAIRWAY DR
Second Line	:	SUITE 400
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4204
Country	:	US
Telephone Number	:	800-330-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 N UNIVERSITY DR
Second Line	:	PATHOLOGY DEPT
City	:	TAMARAC
State	:	FL
Zip	:	33321-2913
Country	:	US
Telephone Number	:	407-454-1540
Fax Number	:

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

Provider Enumeration Date	:	08/06/2006
Last Update Date	:	10/16/2007

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