Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301105108 | MI |
N | 111NI0900X | Internist | 4301105108 | MI |
Y | 207R00000X | Internist | ME135332 | FL |
Y | 111NI0900X | Internist | ME135332 | FL |
NPI | 1003213604 |
---|---|
Provider Name | Syed Mustafa Zaidi |
First Address | Tampa, FL 33679-2848 |
Second Address | Brandon, FL 33511-5779 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2014 |
Last Update Date | 17/11/2020 |