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1124052014
ABDUL BASIT MIR
CRESTVIEW, FL
NPI
1124052014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME0032883)
Enumeration Date
2006-07-10
Last Update Date
2009-12-11
Business Address
-- ABDUL BASIT MIR M.D.
131 E REDSTONE AVE SUITE 101
CRESTVIEW, FL 32539-5326
Phone number: 850-682-5174
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Mailing Address
-- ABDUL BASIT MIR M.D.
131 E REDSTONE AVE SUITE 101
CRESTVIEW, FL 32539-5326
Phone number: 850-682-5174
Copy
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