Individual
IVAN DARIO MAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
766 N SUN DR, SUITE 3030, LAKE MARY, FL 32746-2552
(407) 444-2800
Mailing address
807 S ORLANDO AVE, SUITE C, WINTER PARK, FL 32789-4870
(407) 515-2211
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME107626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002369400
—
FL
Enumeration date
07/06/2006
Last updated
05/06/2024
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