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Contact Information

VIKISHA HAZARIWALA, DO
790 CONCOURSE PKWY S STE 200
MAITLAND, FL32751-6114
 Phone: 407-767-6411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for VIKISHA HAZARIWALA · (Female)

NPI Number 1497312441
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/24/2019
Last updated 10/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # OS20971
  • FL Medicaid 123331500
  • FL Other S44W0 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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