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NPI Code Detail

MEDICARE: ALVINA QURESHI OD PLLC

MEDICARE: ALVINA QURESHI OD PLLC
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
1152W00000XOptometrist5220FL

General Provider Information

NPI Number : 1861930562
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALVINA QURESHI OD PLLC
Provider Business Mailing Address
First Line : 916 MILANO CIR
Second Line : APT # 203
City : BRANDON
State : FL
Zip : 33511-7154
Country : US
Telephone Number : 616-970-0223
Fax Number :
Provider Business Practice Location Address
First Line : 1720 E HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-8234
Country : US
Telephone Number : 813-675-3698
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. ALVINA QURESHI
Credential : O.D.
Telephone Number : 616-970-0223
Provider Enumeration Date : 02/02/2017
Last Update Date : 02/02/2017

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