Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sultan Mirza, MD

Individual provider Dermatology Physician · NPI 1790196699

Sultan Mirza, MD is a Dermatology in Palm Harbor, Florida. Graduated from Mayo Medical School in 2014, 12 years ago. Practices with Suncoast Skin Solutions, a 99-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
12
Trained at
Mayo Medical School
Licensed in
FL, MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

32615 US Highway 19 N Ste 1
Palm Harbor, FL 34684-3176
Phone: (813) 321-1786
Fax: (813) 321-1787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 14095 Cortez Blvd, Brooksville, FL 34613-5794 — (813) 321-1786
  • 25097 Olympia Ave Ste 202, Punta Gorda, FL 33950-3914 — (813) 321-1786

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME135477 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence 59759 (MN)

Record details

NPI number1790196699
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address4651 Van Dyke Rd, Lutz, FL 33558-4880

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Suncoast Skin Solutions — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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