Individual
DR. MAURI CARAKUSHANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 COLUMBIA ST, SUITE B, ORLANDO, FL 32806-1046
(407) 650-7210
(407) 650-7124
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME88760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268367900
—
FL
Enumeration date
08/29/2006
Last updated
09/07/2011
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