Individual
MAHA F ANSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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 PLACE, 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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075530
MEDICAL LICENSE
FL
01
—
207RE0101X
TAXONOMY
FL
05
—
253960800
—
FL
01
—
K5656
GROUP MEDICARE ID NUMBER
FL
Enumeration date
07/19/2006
Last updated
05/02/2008
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