Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME149379 | FL |
N | 111NI0900X | Internist | ME149379 | FL |
Y | 207RI0200X | Infectious Disease | ME149379 | FL |
NPI | 1013361450 |
---|---|
Provider Name | Dr. Ammara Mushtaq |
First Address | Gainesville, FL 32610-0277 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2016 |
Last Update Date | 02/06/2021 |