Provider / Organization | NPI | Date Certified |
---|---|---|
SELINA IQBAL | 1295302693 | 2021-06-06 |
Selina Iqbal is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295302693. Registration indicates Selina Iqbal is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
Entity Type | Individual |
Provider Name | Selina Iqbal |
Practice Office Address | 534 NW 2ND ST GAINESVILLE, FL US |
Practice Office Telephone | 9732347781 |
Mailing Address | PO BOX 100277 GAINESVILLE, FL 326100277 US |
Address | City / State | Phone / Fax |
---|---|---|
1600 SW Archer Rd | Gainesville, FL 326105359 | 3522739804 |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | PA9114818
FL |