IndividualActive
Abdul Mir, M.D.
NPI 1124052014 · Internal Medicine Physician · Crestview, FL
Provider details
- NPI number
- 1124052014
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME0032883 (FL)
Practice location
131 E Redstone Ave
Suite 101
Crestview, FL 32539-5326
Phone: (850) 682-5174
Fax: (850) 689-3653
Mailing address
131 E Redstone Ave
Crestview, FL 32539-5326
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2009-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.