IndividualActive
Maryam Mumtaz, PA-C
NPI 1962223149 · Physician Assistant · Zephyrhills, FL
Provider details
- NPI number
- 1962223149
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9119335 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone: (813) 779-1209
Fax: (813) 779-1216
Approximate (ZIP-level) locationGet directions
Mailing address
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Additional practice locations (1)
- 3650 Colonial CtFort Myers, FL 33913-6636Phone: (239) 274-6070
Registry dates
- Enumerated
- 2024-10-21
- Last updated
- 2025-05-02
- Certified
- 2025-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.