Mansoor S. Mughal, M.D.
Ophthalmology in Jacksonville, FL. Individual provider (NPI-1).
NPI number1497905046
StatusActive
Last updated in NPPESApr 2, 2021
Details
- NPI
- 1497905046
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mansoor S. Mughal
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2008
- Certification date
- Apr 2, 2021
- Last updated
- Apr 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | ME145502 | FL | Yes |
| 207W00000X | Ophthalmology | R-8496 | IA | |
| 207W00000X | Ophthalmology | 25MA10324500 | NJ | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2 Shircliff WaySte. 715
Jacksonville, FL 32204
Phone 904-388-8446 · Fax 904-384-6261
Mailing address
1137 Ashfield WaySt. Johns, FL 32259
Phone 904-388-8446 · Fax 904-384-6261
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