Individual provider · Type 1 NPI

Jacqueline Mirza

Student in an Organized Health Care Education/Training Program · Davie, FL

NPI number 1972248292 Active

Practice location

3301 College Ave
Davie, FL 33314-7721

Call (954) 262-1737 Map

Mailing address

3402 Davie Rd Apt 208
Davie, FL 33314-1622

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972248292

Jacqueline Mirza's National Provider Identifier is 1972248292, issued on May 2, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Davie, FL. The record was last updated on May 2, 2022.