# REGENCY ENDOCRINOLOGY, DIABETES AND METABOLISM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215957741
- **Authorized official:** MAHA F ANSARA M.D. (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (407) 333-1212

## Contact information

- **Practice address:** 752 STIRLING CENTER PL, SUITE 1008, LAKE MARY, FL 32746-4889
- **Practice address phone:** (407) 333-1212
- **Practice address fax:** (407) 333-1213
- **Mailing address:** 752 STIRLING CENTER PL, SUITE 1008, LAKE MARY, FL 32746-4889
- **Mailing address phone:** (407) 333-1212
- **Mailing address fax:** (407) 333-1213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0075530 | FL | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 10/10/2013