Individual
NICK ASHOK MAHAVIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1140 KELTON AVE, BLDG 3, OCOEE, FL 34761-3175
(407) 521-7999
(407) 521-2227
Mailing address
1140 KELTON AVE, BUILDING 3, OCOEE, FL 34761-3175
(407) 521-7999
(407) 521-2227
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0003217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340533800
—
FL
01
—
65906
BCBS
FL
Enumeration date
09/14/2005
Last updated
04/26/2012
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