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Organization
REGENCY ENDOCRINOLOGY, DIABETES AND METABOLISM, INC.
Active
Organization
REGENCY ENDOCRINOLOGY, DIABETES AND METABOLISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHA F ANSARA M.D. (PRESIDENT/PHYSICIAN)
(407) 333-1212
Entity
Organization
Contact information
Practice address
752 STIRLING CENTER PL, SUITE 1008, LAKE MARY, FL 32746-4889
(407) 333-1212
(407) 333-1213
Mailing address
752 STIRLING CENTER PL, SUITE 1008, LAKE MARY, FL 32746-4889
(407) 333-1212
(407) 333-1213
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0075530
FL
Other
Enumeration date
07/20/2006
Last updated
10/10/2013
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