Individual
MAOHAO HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8110 COUNTY ROAD 44 LEG A, LEESBURG, FL 34788-3704
(352) 323-8868
(352) 323-8865
Mailing address
8110 COUNTY ROAD 44 LEG A, LEESBURG, FL 34788-3704
(352) 323-8868
(352) 323-8865
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME94864
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275745100
—
FL
01
—
52939
BCBS
FL
01
—
P00380949
RAILROAD MEDICARE
—
Enumeration date
06/29/2006
Last updated
06/25/2012
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