Provider Demographics
NPI:1942436993
Name:NAQVI, ZARRIN MUKHTAR (OD)
Entity type:Individual
Prefix:DR
First Name:ZARRIN
Middle Name:MUKHTAR
Last Name:NAQVI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:215 1ST ST N
Mailing Address - Street 2:STE. 100
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4537
Mailing Address - Country:US
Mailing Address - Phone:863-299-8908
Mailing Address - Fax:863-595-2838
Practice Address - Street 1:4337 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-1654
Practice Address - Country:US
Practice Address - Phone:863-299-8908
Practice Address - Fax:863-595-2838
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4476152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDT270ZMedicare PIN